CLIA lab
CLIA 10D2030639: Parks Dermatology Center LLC
Port Orange, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2030639 belongs to Parks Dermatology Center LLC in Port Orange, FL.
Certificate for Provider-Performed Microscopy Procedures, effective May 1, 2025, expires April 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2011
- 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
- 10D2030639
- Lab name
- Parks Dermatology Center LLC
- Address
- 1175 Dunlawton Ave Unit 102, Port Orange, FL 32127
- Phone
- (386) 677-9044
- Fax
- (386) 677-3083
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 450
- Total
- 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 Port Orange, FL
- Advanced Cardiology/Ashraf Elsakr MDCertificate of Waiver, Physician office10D0970293
- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D2158831
- Advanced Medical Research Center LLCCertificate of Waiver, Other10D1102355
- Advanced Urology InstituteCertificate of Waiver, Physician office10D2233909
- Adventhealh Medical GroupCertificate of Waiver, Physician office10D2326896
- Adventhealth Centra Care Port OrangeCertificate of Waiver, Other10D2078154
- Adventhealth Imaging Center Port OrangeCertificate of Waiver, Physician office10D2269619
- Adventhealth LabCertificate of Accreditation, Hospital10D2221079
- Adventhealth LabCertificate of Waiver, Hospital10D2221089
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D2338760
Related
Questions
What is the CLIA number for Parks Dermatology Center LLC in Port Orange?
10D2030639, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Parks Dermatology Center LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 10D2030639 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.