11D0914503 CLIA NUMBER - GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D0914503
  • Facility Name: GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
  • Facility Address: 2400 BELLEVUE RD SUITE 16
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 275-2694
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL M. SHARKEY MD
  • NPI Number: 1710924881
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0914503
LAB Type Physician Office
Facility Name GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Street 2400 BELLEVUE RD SUITE 16
City DUBLIN
State GA
ZIP 31021
Phone 478 275-2694
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 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director MICHAEL M. SHARKEY MD

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