06D0684336 CLIA NUMBER - DURANGO DERMATOLOGY & DERMATOLOGIC SURGERY PLLC

Laboratory Demographics

  • CLIA Code: 06D0684336
  • Facility Name: DURANGO DERMATOLOGY & DERMATOLOGIC SURGERY PLLC
  • Facility Address: 523 S CAMINO DEL RIO SUITE B
    DURANGO, CO
    ZIP 81303
  • Facility Phone: 970 247-1970
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK D. GAUGHAN
  • NPI Number: 1497811160
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 06D0684336
LAB Type Physician Office
Facility Name DURANGO DERMATOLOGY & DERMATOLOGIC SURGERY PLLC
Street 523 S CAMINO DEL RIO SUITE B
City DURANGO
State CO
ZIP 81303
Phone 970 247-1970
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 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director DR. MARK D. GAUGHAN

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