10D2162124 CLIA NUMBER - PREMIER DERMATOLOGY MD LLC

Laboratory Demographics

  • CLIA Code: 10D2162124
  • Facility Name: PREMIER DERMATOLOGY MD LLC
  • Facility Address: 20803 BISCAYNE BLVD SUITE 305
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 305 521-8971
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DONNA BILU MARTIN
  • NPI Number: 1578955811
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2162124
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY MD LLC
Street 20803 BISCAYNE BLVD SUITE 305
City AVENTURA
State FL
ZIP 33180
Phone 305 521-8971
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 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director DONNA BILU MARTIN

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