01D2236688 CLIA NUMBER - CAMELLIA DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 01D2236688
  • Facility Name: CAMELLIA DERMATOLOGY, PC
  • Facility Address: 200 E LAUREL AVENUE, SUITE 101
    FOLEY, AL
    ZIP 36535
  • Facility Phone: 251 424-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY T. ANANTH
  • NPI Number: 1639753148
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2236688
LAB Type Physician Office
Facility Name CAMELLIA DERMATOLOGY, PC
Street 200 E LAUREL AVENUE, SUITE 101
City FOLEY
State AL
ZIP 36535
Phone 251 424-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Physician Office
Lab Director AMY T. ANANTH

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This page was last updated on: 3/20/2025