10D2050566 CLIA NUMBER - WINDERMERE DERMATOLOGY & AESTHETICS

Laboratory Demographics

  • CLIA Code: 10D2050566
  • Facility Name: WINDERMERE DERMATOLOGY & AESTHETICS
  • Facility Address: 7789 WINTER GARDEN VINELAND RD STE 100
    WINDERMERE, FL
    ZIP 34786
  • Facility Phone: 407 876-0994
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARON STOKES
  • NPI Number: 1235689225
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2050566
LAB Type Physician Office
Facility Name WINDERMERE DERMATOLOGY & AESTHETICS
Street 7789 WINTER GARDEN VINELAND RD STE 100
City WINDERMERE
State FL
ZIP 34786
Phone 407 876-0994
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director SHARON STOKES

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This page was last updated on: 9/29/2025