01D2281464 CLIA NUMBER - SSD, LLC DBA SOUTHERN SKIES DERMATOLOGY AND SURGERY

Laboratory Demographics

  • CLIA Code: 01D2281464
  • Facility Name: SSD, LLC DBA SOUTHERN SKIES DERMATOLOGY AND SURGERY
  • Facility Address: 1400 HIGHWAY DIVE, SUITE C
    OXFORD, AL
    ZIP 36203
  • Facility Phone: 205 900-2000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARIO K. MARUTHUR
  • NPI Number: 1134700131
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2281464
LAB Type Physician Office
Facility Name SSD, LLC DBA SOUTHERN SKIES DERMATOLOGY AND SURGERY
Street 1400 HIGHWAY DIVE, SUITE C
City OXFORD
State AL
ZIP 36203
Phone 205 900-2000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director DR. MARIO K. MARUTHUR

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