10D2289188 CLIA NUMBER - COMPLETE DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2289188
  • Facility Name: COMPLETE DERMATOLOGY LLC
  • Facility Address: 21550 BISCAYNE BLVD, STE 131
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 305 814-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAN ILKOVITCH
  • NPI Number: 1588359293
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2289188
LAB Type Physician Office
Facility Name COMPLETE DERMATOLOGY LLC
Street 21550 BISCAYNE BLVD, STE 131
City AVENTURA
State FL
ZIP 33180
Phone 305 814-3376
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 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director DAN ILKOVITCH

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