CLIA lab

CLIA 10D1047602: Advanced Dermatology and Cosmetic Surgery

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

CLIA number 10D1047602 belongs to Advanced Dermatology and Cosmetic Surgery in Pembroke Pines, FL.

Certificate of Waiver, effective May 11, 2025, expires May 10, 2027.

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 Waiver
Certificate effective
May 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

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

Lab and contact

CLIA number
10D1047602
Lab name
Advanced Dermatology and Cosmetic Surgery
Address
3 SW 129th Avenue Ste 100, Pembroke Pines, FL 33027
Phone
(407) 284-3407
Fax
(407) 284-3407

Annual test volume the lab reported

Waived tests
25

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

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Related

Questions

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

10D1047602, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology and Cosmetic Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1047602 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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