10D2158853 CLIA NUMBER - KIRSCH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2158853
  • Facility Name: KIRSCH DERMATOLOGY
  • Facility Address: 1012 GOODLETTE FRANK RD N, STE 100
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 267 901-2873
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRANDON M. KIRSCH
  • NPI Number: 1700372182
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2158853
LAB Type Physician Office
Facility Name KIRSCH DERMATOLOGY
Street 1012 GOODLETTE FRANK RD N, STE 100
City NAPLES
State FL
ZIP 34102
Phone 267 901-2873
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director BRANDON M. KIRSCH

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