07D0678677 CLIA NUMBER - CHESHIRE DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 07D0678677
  • Facility Name: CHESHIRE DERMATOLOGY PLLC
  • Facility Address: 677 SOUTH MAIN STREET
    CHESHIRE, CT
    ZIP 06410
  • Facility Phone: 203 250-7577
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANA M. CORREALE
  • NPI Number: 1790715209
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0678677
LAB Type Physician Office
Facility Name CHESHIRE DERMATOLOGY PLLC
Street 677 SOUTH MAIN STREET
City CHESHIRE
State CT
ZIP 06410
Phone 203 250-7577
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director DANA M. CORREALE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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