10D2125376 CLIA NUMBER - NORTH FLORIDA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2125376
  • Facility Name: NORTH FLORIDA DERMATOLOGY
  • Facility Address: 1722 SW NEWLAND WAY
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 344-6102
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KELLY D. TEPEDINO
  • NPI Number: 1689023830
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2125376
LAB Type Physician Office
Facility Name NORTH FLORIDA DERMATOLOGY
Street 1722 SW NEWLAND WAY
City LAKE CITY
State FL
ZIP 32025
Phone 386 344-6102
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 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Physician Office
Lab Director KELLY D. TEPEDINO

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