10D2276172 CLIA NUMBER - PINE ISLAND DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 10D2276172
  • Facility Name: PINE ISLAND DERMATOLOGY, LLC
  • Facility Address: 3365 BURNS RD STE 217
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 561 567-8899
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SERGEY ARUTYUNYAN
  • NPI Number: 1508580200
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2276172
LAB Type Physician Office
Facility Name PINE ISLAND DERMATOLOGY, LLC
Street 3365 BURNS RD STE 217
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 561 567-8899
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director SERGEY ARUTYUNYAN

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