10D2215289 CLIA NUMBER - BLUE OCEAN DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2215289
  • Facility Name: BLUE OCEAN DERMATOLOGY LLC
  • Facility Address: 1004 N PARROTT AVE
    OKEECHOBEE, FL
    ZIP 34972
  • Facility Phone: 386 256-1444
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NICOLE NAGRANI
  • NPI Number: 1992045272
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2215289
LAB Type Physician Office
Facility Name BLUE OCEAN DERMATOLOGY LLC
Street 1004 N PARROTT AVE
City OKEECHOBEE
State FL
ZIP 34972
Phone 386 256-1444
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 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director NICOLE NAGRANI

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