01D2079567 CLIA NUMBER - CATOMA DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 01D2079567
  • Facility Name: CATOMA DERMATOLOGY LLC
  • Facility Address: 1300 BRIDGE CREEK DRIVE NE
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 737-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLANCY H. JOHNSON
  • NPI Number: 1386055010
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2079567
LAB Type Physician Office
Facility Name CATOMA DERMATOLOGY LLC
Street 1300 BRIDGE CREEK DRIVE NE
City CULLMAN
State AL
ZIP 35055
Phone 256 737-7546
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 CLANCY H. JOHNSON

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