01D2115412 CLIA NUMBER - SHADES VALLEY DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 01D2115412
  • Facility Name: SHADES VALLEY DERMATOLOGY LLC
  • Facility Address: 813 SHADES CREEK PKWY STE 205
    BIRMINGHAM, AL
    ZIP 35209
  • Facility Phone: 205 578-1799
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHERINE H. FLANAGAN MD
  • NPI Number: 1831548668
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2115412
LAB Type Physician Office
Facility Name SHADES VALLEY DERMATOLOGY LLC
Street 813 SHADES CREEK PKWY STE 205
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 578-1799
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director KATHERINE H. FLANAGAN MD

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