05D2140871 CLIA NUMBER - ARTIUS DERMATOLOGY ASSOCIATES, PC

Laboratory Demographics

CLIA Number: 05D2140871

Facility Name: ARTIUS DERMATOLOGY ASSOCIATES, PC

Facility Address:
573 W PUTNAM AVE
PORTERVILLE, CA
ZIP 93257
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Facility Phone Number: 559 781-1812

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1457965493

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	05D2140871
LAB Type	Physician Office
Facility Name	ARTIUS DERMATOLOGY ASSOCIATES, PC
Street	573 W PUTNAM AVE
City	PORTERVILLE
State	CA
ZIP	93257
Phone	559 781-1812
CertificateType	2
CertificateEffectiveDate	10/5/2020
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024