CLIA lab

CLIA 10D2004968: Macinnis Dermatology

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

CLIA number 10D2004968 belongs to Macinnis Dermatology in Mount Dora, FL.

Certificate of Compliance, effective September 20, 2025, expires September 19, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
September 20, 2025
Certificate expiration
September 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 17, 2010
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
10D2004968
Lab name
Macinnis Dermatology
Address
17521 US Hwy 441 Ste 21, Mount Dora, FL 32757
Phone
(352) 350-5230
Fax
(866) 539-7193

Annual test volume the lab reported

Waived tests
120
Other nonwaived tests
495
Total
615

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

Affiliated CLIA numbers

Other labs in Mount Dora, FL

Related

Questions

What is the CLIA number for Macinnis Dermatology in Mount Dora?

10D2004968, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Macinnis Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D2004968 expire?

The CMS file lists September 19, 2027 as the certificate expiration date; the certificate took effect September 20, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.