CLIA lab

CLIA 10D1067963: Southeastern Dermatology Group PA

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

CLIA number 10D1067963 belongs to Southeastern Dermatology Group PA in Panama City, FL.

Certificate of Compliance, effective December 3, 2024, expires December 2, 2026.

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
December 3, 2024
Certificate expiration
December 2, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
April 30, 2007
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
10D1067963
Lab name
Southeastern Dermatology Group PA
Address
2505 Harrison Ave 2nd Floor, Panama City, FL 32405
Phone
(850) 252-4401
Fax
(850) 252-4481

Annual test volume the lab reported

Other nonwaived tests
65,000

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

Affiliated CLIA numbers

Other labs in Panama City, FL

Related

Questions

What is the CLIA number for Southeastern Dermatology Group PA in Panama City?

10D1067963, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southeastern Dermatology Group PA hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D1067963 expire?

The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.

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