CLIA lab
CLIA 10D2157947: Lakeside Dermatology
Winter Haven, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2157947 belongs to Lakeside Dermatology in Winter Haven, FL.
Certificate of Compliance, effective February 21, 2025, expires February 20, 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
- February 21, 2025
- Certificate expiration
- February 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 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
- 10D2157947
- Lab name
- Lakeside Dermatology
- Address
- 400 Avenue K SE Suite #3, Winter Haven, FL 33880
- Phone
- (863) 293-7546
- Fax
- (863) 294-0088
Annual test volume the lab reported
- Other nonwaived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Winter Haven, FL
- Adu Livescan Background Screening LLCCertificate of Waiver, Independent10D2302290
- Adventhealth Bond ClinicCertificate of Compliance, Physician office10D0293247
- Adventhealth Bond ClinicCertificate of Compliance, Physician office10D1039920
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D1040478
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D2079226
- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D2100382
- Adventhealth Centra Care Winter HavenCertificate of Waiver, Other10D1102826
- Adventhealth LabCertificate of Accreditation, Other10D2302322
- Adventhealth Medical Group Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office10D2187544
- Adventhealth Primary Care Network IncCertificate of Waiver, Physician office10D2000297
Related
Questions
What is the CLIA number for Lakeside Dermatology in Winter Haven?
10D2157947, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D2157947 expire?
The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.