11D0895426 CLIA NUMBER - CHATHAM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D0895426
  • Facility Name: CHATHAM DERMATOLOGY
  • Facility Address: 820 EAST 67TH STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 355-9818
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TONYA L. MCCULLOUGH MD
  • NPI Number: 1407272511
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D0895426
LAB Type Physician Office
Facility Name CHATHAM DERMATOLOGY
Street 820 EAST 67TH STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 355-9818
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 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director TONYA L. MCCULLOUGH MD

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