CLIA lab

CLIA 10D2128465: Dermatology Boutique PA

Hallandale, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2128465 belongs to Dermatology Boutique PA in Hallandale, FL.

Certificate of Compliance, effective August 2, 2025, expires August 1, 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 Compliance
Certificate effective
August 2, 2025
Certificate expiration
August 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2017
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
10D2128465
Lab name
Dermatology Boutique PA
Address
100 N Federal Hwy Ste 202, Hallandale, FL 33009
Phone
(855) 465-6621
Fax
(888) 407-3376

Annual test volume the lab reported

Other nonwaived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Hallandale, FL

Related

Questions

What is the CLIA number for Dermatology Boutique PA in Hallandale?

10D2128465, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dermatology Boutique PA hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D2128465 expire?

The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.

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