11D0919725 CLIA NUMBER - OLANSKY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D0919725
  • Facility Name: OLANSKY DERMATOLOGY
  • Facility Address: 1505 NORTHSIDE BOULEVARD SUITE 1500
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 404 355-5484
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ILYAS C. HUMZA
  • NPI Number: 1285209726
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D0919725
LAB Type Physician Office
Facility Name OLANSKY DERMATOLOGY
Street 1505 NORTHSIDE BOULEVARD SUITE 1500
City CUMMING
State GA
ZIP 30041
Phone 404 355-5484
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 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director ILYAS C. HUMZA

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