10D2178278 CLIA NUMBER - FLORIDA INSTITUTE OF DERMATOLOGY

Laboratory Demographics

CLIA Number: 10D2178278

Facility Name: FLORIDA INSTITUTE OF DERMATOLOGY

Facility Address:
1991 DANIELS ROAD
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 395-3770

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1356906358

Taxonomy: 207ND0900X - Dermatology
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2178278
LAB Type	Physician Office
Facility Name	FLORIDA INSTITUTE OF DERMATOLOGY
Street	1991 DANIELS ROAD
City	WINTER GARDEN
State	FL
ZIP	34787
Phone	407 395-3770
CertificateType	2
CertificateEffectiveDate	5/11/2022
CertificateExpirationDate	5/10/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024