CLIA lab
CLIA 10D1069372: Port ST John Dermatology
Cocoa, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1069372 belongs to Port ST John Dermatology in Cocoa, FL.
Certificate of Compliance, effective July 24, 2025, expires July 23, 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 Compliance
- Certificate effective
- July 24, 2025
- Certificate expiration
- July 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D1069372
- Lab name
- Port ST John Dermatology
- Address
- 4260 N US Hwy 1, Cocoa, FL 32927
- Phone
- (321) 768-1600
- Fax
- (321) 799-4903
Annual test volume the lab reported
- Other nonwaived tests
- 422
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Cocoa, FL
- 24 Hour Labs Factory LLCCertificate of Waiver, Other10D2346317
- Bell Eve, IncCertificate of Waiver, Comprehensive outpatient rehab facility10D2133850
- Brevard Health Alliance Inc, theCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center10D2110118
- Brevard Health Alliance, Inc, theCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center10D2269426
- Brevard Physicians PACertificate of Waiver, Physician office10D0982503
- Careatc CocoaCertificate of Waiver, Physician office10D2085262
- Central Florida Treatment Center CocoaCertificate of Waiver, Other10D2013651
- Emerald Key Wellness LLCCertificate of Waiver, Other practitioner10D2334153
- Family Health Center at Port ST JohnCertificate of Accreditation, Physician office10D1081504
- Florida Medical Associates LLCCertificate of Waiver, Physician office10D2138224
Related
Questions
What is the CLIA number for Port ST John Dermatology in Cocoa?
10D1069372, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Port ST John Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D1069372 expire?
The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.