10D2270045 CLIA NUMBER - ALACHUA COUNTY DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 10D2270045
  • Facility Name: ALACHUA COUNTY DERMATOLOGY INC
  • Facility Address: 16181 NW US HIGHWAY 441 UNIT 170
    ALACHUA, FL
    ZIP 32615
  • Facility Phone: 386 588-3138
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CORA HANNON
  • NPI Number: 1194475046
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2270045
LAB Type Physician Office
Facility Name ALACHUA COUNTY DERMATOLOGY INC
Street 16181 NW US HIGHWAY 441 UNIT 170
City ALACHUA
State FL
ZIP 32615
Phone 386 588-3138
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director CORA HANNON

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