05D0671853 CLIA NUMBER - INNOVATIVE DERMATOLOGY ALLIANCE CA DBA PEAK DERMATOLOGY AESTHETICS AND WELLNESS

Laboratory Demographics

  • CLIA Code: 05D0671853
  • Facility Name: INNOVATIVE DERMATOLOGY ALLIANCE CA DBA PEAK DERMATOLOGY AESTHETICS AND WELLNESS
  • Facility Address: 5530 W AVENIDA DE LOS ROBLES
    VISALIA, CA
    ZIP 93291
  • Facility Phone: 559 733-5050
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTOPHER U. REX
  • NPI Number: 1376515742
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0671853
LAB Type Physician Office
Facility Name INNOVATIVE DERMATOLOGY ALLIANCE CA DBA PEAK DERMATOLOGY AESTHETICS AND WELLNESS
Street 5530 W AVENIDA DE LOS ROBLES
City VISALIA
State CA
ZIP 93291
Phone 559 733-5050
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 3/24/2021
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director CHRISTOPHER U. REX

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This page was last updated on: 6/4/2025