CLIA lab
CLIA 10D2179486: Aqua Dermatology of Florida PA
Lake Wales, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2179486 belongs to Aqua Dermatology of Florida PA in Lake Wales, FL.
Certificate of Waiver, effective March 1, 2025, expires February 28, 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 Waiver
- Certificate effective
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2179486
- Lab name
- Aqua Dermatology of Florida PA
- Address
- 22411 US-27, Lake Wales, FL 33859
- Phone
- (561) 694-9493
- Fax
- (561) 604-9064
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Wales, FL
- Advanced Interventional Cardiology ConsultantsCertificate of Waiver, Physician office10D1031520
- Adventhealth Centra Care Corporate Care Lake WalesCertificate of Waiver, Other10D2157150
- Adventhealth LabCertificate of Accreditation, Hospital10D0293043
- Adventhealth LabCertificate of Waiver, Other10D2010916
- Adventhealth Medical Group Family and InternalCertificate of Waiver, Physician office10D2133818
- Adventhealth Medical Group Obstetrics & GynecologyCertificate of Waiver, Physician office10D0982809
- Adventhealth Medical Group Primary Care at LakeCertificate of Waiver, Physician office10D2315003
- American Care of North Florida, IncCertificate of Waiver, Physician office10D2249075
- Brain Spine and Sleep Institute LLCCertificate of Waiver, Physician office10D2121221
- Central Florida Cancer InstituteCertificate of Waiver, Physician office10D1092656
Related
Questions
What is the CLIA number for Aqua Dermatology of Florida PA in Lake Wales?
10D2179486, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aqua Dermatology of Florida PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2179486 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.