CLIA lab

CLIA 10D2164458: Advanced Dermatology and Cosmetic Surgery

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

CLIA number 10D2164458 belongs to Advanced Dermatology and Cosmetic Surgery in Winter Garden, FL.

Certificate for Provider-Performed Microscopy Procedures, effective April 5, 2025, expires April 4, 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
April 5, 2025
Certificate expiration
April 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 5, 2019
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
10D2164458
Lab name
Advanced Dermatology and Cosmetic Surgery
Address
4020 Winter Garden Vineland Rd #101, Winter Garden, FL 34787
Phone
(407) 875-2080
Fax
(407) 875-2026

Annual test volume the lab reported

Waived tests
60
Provider-performed microscopy tests
100
Total
160

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 Winter Garden?

10D2164458, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology and Cosmetic Surgery hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 10D2164458 expire?

The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.

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