CLIA lab
CLIA 10D1077405: Winter Haven Dermatology PA
Winter Haven, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1077405 belongs to Winter Haven Dermatology PA in Winter Haven, FL.
Certificate of Compliance, effective December 28, 2025, expires December 27, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- December 28, 2025
- Certificate expiration
- December 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 2007
- 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
- 10D1077405
- Lab name
- Winter Haven Dermatology PA
- Address
- 560 Ave K SE, Winter Haven, FL 33880
- Phone
- (863) 299-3376
- Fax
- (863) 299-2830
Annual test volume the lab reported
- Other nonwaived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Winter Haven, FL
- Adu Livescan Background Screening LLCCertificate of Waiver, Independent10D2302290
- Adventhealth Bond ClinicCertificate of Compliance, Physician office10D0293247
- Adventhealth Bond ClinicCertificate of Compliance, Physician office10D1039920
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D1040478
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D2079226
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D2100382
- Adventhealth Centra Care Winter HavenCertificate of Waiver, Other10D1102826
- Adventhealth LabCertificate of Accreditation, Other10D2302322
- Adventhealth Medical Group Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office10D2187544
- Adventhealth Primary Care Network IncCertificate of Waiver, Physician office10D2000297
Related
Questions
What is the CLIA number for Winter Haven Dermatology PA in Winter Haven?
10D1077405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Winter Haven Dermatology PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D1077405 expire?
The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.