CLIA lab

CLIA 10D2004604: Southeastern Dermatology Group PA

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

CLIA number 10D2004604 belongs to Southeastern Dermatology Group PA in Marianna, FL.

Certificate of Compliance, effective March 26, 2026, expires March 25, 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

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
March 26, 2026
Certificate expiration
March 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 9, 2010
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
10D2004604
Lab name
Southeastern Dermatology Group PA
Address
4357 Lafayette St, Marianna, FL 32446
Phone
(850) 252-4401
Fax
(850) 252-4481

Annual test volume the lab reported

Other nonwaived tests
500

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

Affiliated CLIA numbers

Other labs in Marianna, FL

Related

Questions

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

10D2004604, 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 10D2004604 expire?

The CMS file lists March 25, 2028 as the certificate expiration date; the certificate took effect March 26, 2026.

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