10D2251990 CLIA NUMBER - ADVANCE DERMATOLOGY AND COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2251990
  • Facility Name: ADVANCE DERMATOLOGY AND COSMETIC SURGERY
  • Facility Address: 13681 METROPOLIS AVE
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANAIS BADIA
  • NPI Number: 1285975607
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D2251990
LAB Type Physician Office
Facility Name ADVANCE DERMATOLOGY AND COSMETIC SURGERY
Street 13681 METROPOLIS AVE
City FORT MYERS
State FL
ZIP 33912
Phone 407 284-3407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director ANAIS BADIA

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