10D2194282 CLIA NUMBER - DAZZLING DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 10D2194282
  • Facility Name: DAZZLING DERMATOLOGY, PLLC
  • Facility Address: 22029 SR 7 STE 101
    BOCA RATON, FL
    ZIP 33428
  • Facility Phone: 561 923-0905
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ERIC W. RUDNICK
  • NPI Number: 1336752120
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2194282
LAB Type Physician Office
Facility Name DAZZLING DERMATOLOGY, PLLC
Street 22029 SR 7 STE 101
City BOCA RATON
State FL
ZIP 33428
Phone 561 923-0905
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 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director ERIC W. RUDNICK

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