01D2156980 CLIA NUMBER - RENEW DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 01D2156980
  • Facility Name: RENEW DERMATOLOGY
  • Facility Address: 1651 INDEPENDENCE COURT, STE 121
    BIRMINGHAM, AL
    ZIP 35209
  • Facility Phone: 205 287-6120
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH L. HUGHEY
  • NPI Number: 1861976060
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2156980
LAB Type Physician Office
Facility Name RENEW DERMATOLOGY
Street 1651 INDEPENDENCE COURT, STE 121
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 287-6120
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 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director SARAH L. HUGHEY

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