08D2305860 CLIA NUMBER - GREEN DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 08D2305860
  • Facility Name: GREEN DERMATOLOGY LLC
  • Facility Address: 310 MULLET RUN
    MILFORD, DE
    ZIP 19963
  • Facility Phone: (302) 459-5010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAIGE VENABLES
  • NPI Number: 1861233827
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 08D2305860
LAB Type Physician Office
Facility Name GREEN DERMATOLOGY LLC
Street 310 MULLET RUN
City MILFORD
State DE
ZIP 19963
Phone 3024595010
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 6/7/2026
Certificate Expiration Date 6/6/2028
Facility Type Physician Office
Lab Director PAIGE VENABLES

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This page was last updated on: 5/18/2026