11D0958833 CLIA NUMBER - COLUMBUS DERMATOLOGY, PC

Laboratory Demographics

CLIA Number: 11D0958833

Facility Name: COLUMBUS DERMATOLOGY, PC

Facility Address:
400 BROOKSTONE CENTRE PARKWAY, SUITE 500
COLUMBUS, GA
ZIP 31904
Get Directions

Facility Phone Number: 706 568-2700

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1932280229

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	11D0958833
LAB Type	Physician Office
Facility Name	COLUMBUS DERMATOLOGY, PC
Street	400 BROOKSTONE CENTRE PARKWAY, SUITE 500
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 568-2700
CertificateType	3
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024