CLIA lab
CLIA 10D2120399: Brevard Medical Dermatology PA
Titusville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2120399 belongs to Brevard Medical Dermatology PA in Titusville, FL.
Certificate of Waiver, effective October 17, 2024, expiration date October 16, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 17, 2024
- Certificate expiration
- October 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2016
- 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
- 10D2120399
- Lab name
- Brevard Medical Dermatology PA
- Address
- 805 Century Medical Drive, Titusville, FL 32796
- Phone
- (321) 567-7530
- Fax
- (321) 225-8931
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Titusville, FL
- Addington Place of TitusvilleCertificate of Waiver, Assisted living facility10D2010047
- Advanced Care Partners TitusvilleCertificate of Waiver, Other10D2272914
- Aker Eye CenterCertificate of Waiver, Physician office10D1099184
- Alto Hickory CreekCertificate of Waiver, Assisted living facility10D2327693
- Aqua Dermatology of Florida PACertificate of Waiver, Physician office10D2236922
- Ara-Titusville Dialysis LLCCertificate of Waiver, End stage renal disease dialysis facility10D1014520
- Ashok Shah MD PACertificate of Waiver, Physician office10D1083172
- Atlantic Eye Consultants LLCCertificate of Waiver, Physician office10D2309129
- Be Well Family Care LLCCertificate of Waiver, Physician office10D2340199
- Brevard Health Alliance Inc, theCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center10D2012749
Related
Questions
What is the CLIA number for Brevard Medical Dermatology PA in Titusville?
10D2120399, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brevard Medical Dermatology PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2120399 expire?
The CMS file lists October 16, 2026 as the certificate expiration date; the certificate took effect October 17, 2024.