CLIA lab
CLIA 10D2262657: Southside Dermatology PA
Jacksonville Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2262657 belongs to Southside Dermatology PA in Jacksonville Beach, FL.
Certificate of Compliance, effective January 26, 2025, expires January 25, 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
- January 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 2022
- 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
- 10D2262657
- Lab name
- Southside Dermatology PA
- Address
- 1807 3rd Street North, Jacksonville Beach, FL 32250
- Phone
- (904) 880-0622
- Fax
- (904) 880-0623
Annual test volume the lab reported
- Waived tests
- 500
- Other nonwaived tests
- 500
- Total
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jacksonville Beach, FL
- A New Way HealthcareCertificate of Waiver, Physician office10D2158429
- Alice J Reed PACertificate of Waiver, Physician office10D0969365
- Ashford CourtCertificate of Waiver, Assisted living facility10D2105808
- Atlantic Eye Institute PACertificate of Waiver, Physician office10D2315612
- Avante Villa at Jacksonville Beach IncCertificate of Waiver, Skilled nursing or nursing facility10D0883769
- Baptist Cardiology IncCertificate of Waiver, Physician office10D0929973
- Baptist Medical Center-BeachesCertificate of Accreditation, Hospital10D0645124
- Baptist Primary CareCertificate of Waiver, Physician office10D1017632
- Baptist Primary CareCertificate of Waiver, Physician office10D2030931
- Baptist Primary Care IncCertificate of Waiver, Physician office10D0726357
Related
Questions
What is the CLIA number for Southside Dermatology PA in Jacksonville Beach?
10D2262657, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southside Dermatology PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D2262657 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.