10D2323819 CLIA NUMBER - SJI DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 10D2323819
  • Facility Name: SJI DERMATOLOGY PLLC
  • Facility Address: 9526 HARDING AVENUE
    SURFSIDE, FL
    ZIP 33154
  • Facility Phone: (305) 315-6526
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARIT J. ITENBERG
  • NPI Number: 1528826112
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2323819
LAB Type Physician Office
Facility Name SJI DERMATOLOGY PLLC
Street 9526 HARDING AVENUE
City SURFSIDE
State FL
ZIP 33154
Phone 3053156526
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 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director SARIT J. ITENBERG

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This page was last updated on: 5/18/2026