10D2168966 CLIA NUMBER - ADVANCED DERMATOLOGY & COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2168966
  • Facility Name: ADVANCED DERMATOLOGY & COSMETIC SURGERY
  • Facility Address: 26344 US HWY 19 NORTH
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALEXANDER DANE
  • NPI Number: 1619200482
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2168966
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY & COSMETIC SURGERY
Street 26344 US HWY 19 NORTH
City CLEARWATER
State FL
ZIP 33761
Phone 407 284-3407
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 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director ALEXANDER DANE

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