CLIA lab
CLIA 10D2094764: Coastal Skin Surgery and Dermatology
Niceville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2094764 belongs to Coastal Skin Surgery and Dermatology in Niceville, FL.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2015
- 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
- 10D2094764
- Lab name
- Coastal Skin Surgery and Dermatology
- Address
- 4400 Hwy 20 E Ste 410, Niceville, FL 32578
- Phone
- (850) 897-4900
- Fax
- (850) 654-3376
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Niceville, FL
- Access Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office10D0885017
- Afc Physicians of Florida PACertificate of Waiver, Physician office10D2240533
- Alw Enterprises PA DBA Origins HealthcareCertificate of Waiver, Physician office10D2171156
- Beachside Pediatric Associates PACertificate of Waiver, Physician office10D2221356
- Bio Medical Applications of FL IncCertificate of Waiver, End stage renal disease dialysis facility10D2082303
- Bluewater Radiology, PLLCCertificate of Waiver, Other10D1052527
- Brookdale Bluewater BayCertificate of Waiver, Assisted living facility10D0945866
- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2066133
- Coastal Anesthesia PACertificate of Waiver, Physician office10D2074917
- Coastal Dermatology LaboratoryCertificate of Compliance, Physician office10D2106853
Related
Questions
What is the CLIA number for Coastal Skin Surgery and Dermatology in Niceville?
10D2094764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Skin Surgery and Dermatology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2094764 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.