CLIA lab
CLIA 10D2191612: Coastal Skin Surgery and Dermatology PL
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2191612 belongs to Coastal Skin Surgery and Dermatology PL in Fort Walton Beach, FL.
Certificate of Compliance, effective March 2, 2025, expires March 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- March 2, 2025
- Certificate expiration
- March 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 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
- 10D2191612
- Lab name
- Coastal Skin Surgery and Dermatology PL
- Address
- 912 Marwalt Dr, Fort Walton Beach, FL 32547
- Phone
- (850) 314-7546
- Fax
- (850) 654-3320
Annual test volume the lab reported
- Waived tests
- 100
- Other nonwaived tests
- 1,264
- Total
- 1,364
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Walton Beach, FL
- Advantage Dental Oral Health Center of FL PACertificate of Waiver, Other10D2283268
- Allergy Partners of the Emerald CoastCertificate of Waiver, Physician office10D0978706
- Alternative Living, IncCertificate of Waiver, Assisted living facility10D0953730
- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for Coastal Skin Surgery and Dermatology PL in Fort Walton Beach?
10D2191612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Skin Surgery and Dermatology PL hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D2191612 expire?
The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.