10D2328721 CLIA NUMBER - CYPRESS CROWN DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 10D2328721
  • Facility Name: CYPRESS CROWN DERMATOLOGY PLLC
  • Facility Address: 130 RIDGE CENTER DRIVE SUITE 203
    DAVENPORT, FL
    ZIP 33837
  • Facility Phone: 863 667-6647
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: REBECCA C. TUNG
  • NPI Number: 1073409868
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2328721
LAB Type Physician Office
Facility Name CYPRESS CROWN DERMATOLOGY PLLC
Street 130 RIDGE CENTER DRIVE SUITE 203
City DAVENPORT
State FL
ZIP 33837
Phone 863 667-6647
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 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director REBECCA C. TUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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