11D0259622 CLIA NUMBER - PIEDMONT DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 11D0259622
  • Facility Name: PIEDMONT DERMATOLOGY, LLC
  • Facility Address: 1800 HOWELL MILL ROAD, NW, SUITE 680
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: 404 352-1730
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CORINNE L. ERICKSON
  • NPI Number: 1164605150
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0259622
LAB Type Physician Office
Facility Name PIEDMONT DERMATOLOGY, LLC
Street 1800 HOWELL MILL ROAD, NW, SUITE 680
City ATLANTA
State GA
ZIP 30318
Phone 404 352-1730
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. CORINNE L. ERICKSON

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