01D1103538 CLIA NUMBER - SKIN WELLNESS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 01D1103538
  • Facility Name: SKIN WELLNESS DERMATOLOGY
  • Facility Address: 3415 INDEPENDENCE DRIVE SUITE 200
    HOMEWOOD, AL
    ZIP 35209
  • Facility Phone: 205 871-7332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COREY L. HARTMAN MD
  • NPI Number: 1265663926
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D1103538
LAB Type Physician Office
Facility Name SKIN WELLNESS DERMATOLOGY
Street 3415 INDEPENDENCE DRIVE SUITE 200
City HOMEWOOD
State AL
ZIP 35209
Phone 205 871-7332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director DR. COREY L. HARTMAN MD

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This page was last updated on: 9/29/2025