CLIA lab

CLIA 10D0722984: Advanced Dermatology and Cosmetic Surgery

Jacksonville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0722984 belongs to Advanced Dermatology and Cosmetic Surgery in Jacksonville, FL.

Certificate of Compliance, effective October 28, 2026, expires October 27, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
October 28, 2026
Certificate expiration
October 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D0722984
Lab name
Advanced Dermatology and Cosmetic Surgery
Address
1639 Atlantic Blvd Suite 100, Jacksonville, FL 32207
Phone
(407) 284-3407
Fax
(407) 284-3407

Annual test volume the lab reported

Waived tests
10
Provider-performed microscopy tests
17
Other nonwaived tests
817
Total
844

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Jacksonville, FL

Related

Questions

What is the CLIA number for Advanced Dermatology and Cosmetic Surgery in Jacksonville?

10D0722984, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology and Cosmetic Surgery hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D0722984 expire?

The CMS file lists October 27, 2028 as the certificate expiration date; the certificate took effect October 28, 2026.

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