01D0300651 CLIA NUMBER - TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 01D0300651
  • Facility Name: TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER
  • Facility Address: 1927 1ST AVENUE NORTH, SUITE 300
    BIRMINGHAM, AL
    ZIP 35203
  • Facility Phone: 205 933-0987
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: C BLAKE PHILLIPS
  • NPI Number: 1831296888
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 01D0300651
LAB Type Physician Office
Facility Name TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER
Street 1927 1ST AVENUE NORTH, SUITE 300
City BIRMINGHAM
State AL
ZIP 35203
Phone 205 933-0987
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director C BLAKE PHILLIPS

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This page was last updated on: 6/4/2025