CLIA lab
CLIA 10D2130368: Southeastern Dermatology PA
Crawfordville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2130368 belongs to Southeastern Dermatology PA in Crawfordville, FL.
Certificate for Provider-Performed Microscopy Procedures, effective May 8, 2025, expires May 7, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 8, 2025
- Certificate expiration
- May 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 8, 2017
- 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
- 10D2130368
- Lab name
- Southeastern Dermatology PA
- Address
- 2887 Crawfordville Hwy Ste 4, Crawfordville, FL 32327
- Phone
- (850) 422-3376
- Fax
- (850) 205-7182
Annual test volume the lab reported
- Provider-performed microscopy tests
- 23
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Crawfordville, FL
- Advanced Urology InstituteCertificate of Waiver, Physician office10D2219925
- Centurion of Florida, LLCCertificate of Waiver, Prison10D2114776
- Eden Springs Nursing and Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility10D0678398
- Forward WellnessCertificate of Waiver, Other practitioner10D2268431
- HCA Florida Capital Primary CareCertificate of Waiver, Physician office10D0270280
- Myeyedr Optometry of Florida, LLCCertificate of Waiver, Physician office10D2323393
- Nhc/Op, LPCertificate of Waiver, Home health agency10D1050104
- Pache Health Services LLC DBACertificate of Waiver, Community clinic10D2312403
- Panhandle Primary Care IncCertificate of Waiver, Physician office10D2317665
- Patients First Lake Ella Medical Center, PACertificate of Waiver, Physician office10D2261406
Related
Questions
What is the CLIA number for Southeastern Dermatology PA in Crawfordville?
10D2130368, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeastern Dermatology PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 10D2130368 expire?
The CMS file lists May 7, 2027 as the certificate expiration date; the certificate took effect May 8, 2025.