CLIA lab
CLIA 10D2078758: Southeastern Dermatology Group PA
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2078758 belongs to Southeastern Dermatology Group PA in Fort Walton Beach, FL.
Certificate of Compliance, effective July 1, 2026, expires June 30, 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
- July 1, 2026
- Certificate expiration
- June 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 2014
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2078758
- Lab name
- Southeastern Dermatology Group PA
- Address
- 3 Racetrack Rd NE, Fort Walton Beach, FL 32547
- Phone
- (850) 252-4401
- Fax
- (850) 252-4481
Annual test volume the lab reported
- Other nonwaived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Walton Beach, FL
- Advantage Dental Oral Health Center of FL PACertificate of Waiver, Other10D2283268
- Allergy Partners of the Emerald CoastCertificate of Waiver, Physician office10D0978706
- Alternative Living, IncCertificate of Waiver, Assisted living facility10D0953730
- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for Southeastern Dermatology Group PA in Fort Walton Beach?
10D2078758, 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 10D2078758 expire?
The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.