CLIA lab
CLIA 10D2120401: Brevard Medical Dermatology PA
Melbourne, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2120401 belongs to Brevard Medical Dermatology PA in Melbourne, 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
- 10D2120401
- Lab name
- Brevard Medical Dermatology PA
- Address
- 7960 N Wickham Road Suite 103, Melbourne, FL 32940
- Phone
- (321) 428-4737
- Fax
- (321) 241-6457
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Melbourne, FL
- ASC of Brevard, theCertificate of Waiver, Other10D0908558
- Advanced Pain Management Solutions LLCCertificate of Waiver, Physician office10D2302670
- Advanced Surgical Care of Viera LLCCertificate of Waiver, Ambulatory surgery center10D2253468
- Adventhealth Medical Group PediatricCertificate of Waiver, Physician office10D2346055
- Ajl Nursing Services LLCCertificate of Waiver, Home health agency10D2163610
- All Ways Caring Home CareCertificate of Waiver, Home health agency10D0970863
- Amedisys Hospice of BrevardCertificate of Waiver, Hospice10D2300379
- Apollo Surgery CenterCertificate of Waiver, Ambulatory surgery center10D1092078
- Aqua Dermatology of Florida PACertificate of Waiver, Physician office10D2179198
- Arcand Family PracticeCertificate of Waiver, Physician office10D1098013
Related
Questions
What is the CLIA number for Brevard Medical Dermatology PA in Melbourne?
10D2120401, 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 10D2120401 expire?
The CMS file lists October 16, 2026 as the certificate expiration date; the certificate took effect October 17, 2024.