10D2093798 CLIA NUMBER - AQUA DERMATOLOGY OF FLORIDA PA

Laboratory Demographics

  • CLIA Code: 10D2093798
  • Facility Name: AQUA DERMATOLOGY OF FLORIDA PA
  • Facility Address: 216 PONTE VEDRA PARKE DR
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Facility Phone: 561 694-9493
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SCOTT D. WARREN
  • NPI Number: 1134160294
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2093798
LAB Type Physician Office
Facility Name AQUA DERMATOLOGY OF FLORIDA PA
Street 216 PONTE VEDRA PARKE DR
City PONTE VEDRA BEACH
State FL
ZIP 32082
Phone 561 694-9493
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director SCOTT D. WARREN

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