10D2175385 CLIA NUMBER - SEBASTIAN - ICONIC DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2175385
  • Facility Name: SEBASTIAN - ICONIC DERMATOLOGY
  • Facility Address: 8745 US HWY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 217-5362
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANAND HARYANI
  • NPI Number: 1518296854
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2175385
LAB Type Physician Office
Facility Name SEBASTIAN - ICONIC DERMATOLOGY
Street 8745 US HWY 1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 217-5362
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 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director ANAND HARYANI

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