10D2096188 CLIA NUMBER - ADVANCED DERMATOLOGY AND COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2096188
  • Facility Name: ADVANCED DERMATOLOGY AND COSMETIC SURGERY
  • Facility Address: 484 US HWY 1 STE C
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: SCOTT PODNOS
  • NPI Number: 1750804357
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2096188
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Street 484 US HWY 1 STE C
City SEBASTIAN
State FL
ZIP 32958
Phone 407 284-3407
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director SCOTT PODNOS

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