CLIA lab
CLIA 10D2057769: Palm Harbor Dermatology PA
Brandon, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2057769 belongs to Palm Harbor Dermatology PA in Brandon, FL.
Certificate of Compliance, effective June 17, 2025, expires June 16, 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 of Compliance
- Certificate effective
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2057769
- Lab name
- Palm Harbor Dermatology PA
- Address
- 621 Medical Care Drive, Brandon, FL 33511
- Phone
- (813) 657-3330
- Fax
- (813) 657-3348
Annual test volume the lab reported
- Waived tests
- 300
- Other nonwaived tests
- 350
- Total
- 650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brandon, FL
- 4 Cardinals Health and Wellness, LLCCertificate of Waiver, Other10D2235405
- Adept Health & Wellness, LLCCertificate of Waiver, Physician office10D2271344
- Advanced Internal Medicine Care, PACertificate of Waiver, Physician office10D2262112
- Advanced Pain ManagementCertificate of Waiver, Physician office10D2114439
- Advanced Pain Management CenterCertificate of Waiver, Physician office10D2123699
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D0870273
- Adventhealth Medical Group Family and InternalCertificate of Waiver, Physician office10D2302335
- Adventhealth Primary Care+ at Walgreens BrandonCertificate of Waiver, Other10D2131398
- Adventhealth Wound Care Center BrandonCertificate of Waiver, Other10D1074263
- After Hours Pediatrics IncCertificate of Waiver, Physician office10D0947236
Related
Questions
What is the CLIA number for Palm Harbor Dermatology PA in Brandon?
10D2057769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palm Harbor Dermatology PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D2057769 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.