CLIA lab
CLIA 10D1104264: Advanced Dermatology and Cosmetic Surgery
Jacksonville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1104264 belongs to Advanced Dermatology and Cosmetic Surgery in Jacksonville, FL.
Certificate of Compliance, effective January 12, 2026, expires January 11, 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
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
- January 12, 2026
- Certificate expiration
- January 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2009
- 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
- 10D1104264
- Lab name
- Advanced Dermatology and Cosmetic Surgery
- Address
- 12525 Phillips Hwy Ste 101 - 102, Jacksonville, FL 32256
- Phone
- (407) 284-3407
- Fax
- (407) 384-3407
Annual test volume the lab reported
- Waived tests
- 100
- Other nonwaived tests
- 1,500
- Total
- 1,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jacksonville, FL
- 904 Health IncCertificate of Waiver, Community clinic10D2323446
- 904 Health, IncCertificate of Waiver, Community clinic10D2286789
- A Caring Hand LLCCertificate of Waiver, Home health agency10D2005070
- A Home Away From Home LLCCertificate of Waiver, Mobile lab10D2251474
- A Womans Choice of JacksonvilleCertificate of Waiver, Other10D0936920
- Able Access Home Health, LLCCertificate of Waiver, Home health agency10D2297763
- Absolute Care Home Health ServicesCertificate of Waiver, Home health agency10D2009594
- Access Home HealthCertificate of Waiver, Home health agency10D2099653
- Accessible Home Health Care of JacksonvilleCertificate of Waiver, Home health agency10D2348417
- Accessrehab LLCCertificate of Waiver, Home health agency10D1106715
Related
Questions
What is the CLIA number for Advanced Dermatology and Cosmetic Surgery in Jacksonville?
10D1104264, 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 10D1104264 expire?
The CMS file lists January 11, 2028 as the certificate expiration date; the certificate took effect January 12, 2026.