CLIA lab

CLIA 10D2142152: Advanced Dermatology and Cosmetic Surgery

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

CLIA number 10D2142152 belongs to Advanced Dermatology and Cosmetic Surgery in Port Saint Lucie, FL.

Certificate of Compliance, effective March 9, 2026, expires March 8, 2028.

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
March 9, 2026
Certificate expiration
March 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2018
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
10D2142152
Lab name
Advanced Dermatology and Cosmetic Surgery
Address
11474 SW Village Parkway, Port Saint Lucie, FL 34987
Phone
(407) 284-3407
Fax
(407) 284-3407

Annual test volume the lab reported

Waived tests
15
Other nonwaived tests
265
Total
280

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

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Related

Questions

What is the CLIA number for Advanced Dermatology and Cosmetic Surgery in Port Saint Lucie?

10D2142152, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology and Cosmetic Surgery hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D2142152 expire?

The CMS file lists March 8, 2028 as the certificate expiration date; the certificate took effect March 9, 2026.

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