CLIA lab
CLIA 10D0966089: Advanced Dermatology and Cosmetic Surgery
St Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0966089 belongs to Advanced Dermatology and Cosmetic Surgery in St Augustine, FL.
Certificate of Compliance, effective January 20, 2026, expires January 19, 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
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 1999
- 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
- 10D0966089
- Lab name
- Advanced Dermatology and Cosmetic Surgery
- Address
- 200 Southpark Blvd Ste 207, St Augustine, FL 32086
- Phone
- (407) 284-3407
- Fax
- (407) 384-3407
Annual test volume the lab reported
- Waived tests
- 100
- Other nonwaived tests
- 960
- Total
- 1,060
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in St Augustine, FL
- 904 Health IncCertificate of Waiver, Community clinic10D2315231
- Ackerman Cancer Center, Padba Akerman UrologyCertificate of Waiver, Physician office10D2294760
- Adventhealth LabCertificate of Waiver, Hospital10D2344390
- Altitude Health Corp I LLCCertificate of Waiver, Physician office10D2347731
- Bio-Medical Applications of Florida IncCertificate of Waiver, End stage renal disease dialysis facility10D2124906
- Bravery Home HealthcareCertificate of Waiver, Home health agency10D2315333
- Center for Health & Sports Medicine, LLCCertificate of Waiver, Physician office10D2258771
- DRS Baker & Gilmour MD PACertificate of Waiver, Physician office10D1091486
- Family Medical Care of ST Augustine PACertificate of Waiver, Physician office10D2010917
- Flagler Home CareCertificate of Waiver, Home health agency10D2135014
Related
Questions
What is the CLIA number for Advanced Dermatology and Cosmetic Surgery in St Augustine?
10D0966089, 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 10D0966089 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.