CLIA lab
CLIA 10D2048519: Southeastern Dermatology Group PA
Gulf Breeze, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2048519 belongs to Southeastern Dermatology Group PA in Gulf Breeze, FL.
Certificate of Compliance, effective December 21, 2024, expires December 20, 2026.
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 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2012
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2048519
- Lab name
- Southeastern Dermatology Group PA
- Address
- 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563
- Phone
- (850) 252-4401
- Fax
- (850) 252-4481
Annual test volume the lab reported
- Other nonwaived tests
- 501
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gulf Breeze, FL
- A Trusted Nurse Practioner, LLCCertificate of Waiver, Other practitioner10D2272744
- Accurate Obgyn Specialists LLCCertificate of Waiver, Physician office10D2110214
- Andrews Institute ASC LLCCertificate of Waiver, Ambulatory surgery center10D1066283
- Andrews Research and Education FoundationCertificate of Waiver, Other10D2009571
- Arbors of Gulf Breeze, theCertificate of Waiver, Assisted living facility10D2206273
- Banyan Gulf Breeze LLCCertificate of Waiver, Other10D2291588
- Banyan Gulf Breeze LLCCertificate of Waiver, Other10D2321090
- Baptist Hospital IncCertificate of Waiver, Other10D2344491
- Baptist Hospital Ladies First Ob/GynCertificate of Waiver, Physician office10D2335043
- Baptist Hospital Primary CareCertificate of Waiver, Physician office10D2018309
Related
Questions
What is the CLIA number for Southeastern Dermatology Group PA in Gulf Breeze?
10D2048519, 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 10D2048519 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.