11D0963568 CLIA NUMBER - GEORGIA DERMATOLOGY & SKIN CANCER CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D0963568
  • Facility Name: GEORGIA DERMATOLOGY & SKIN CANCER CENTER LLC
  • Facility Address: 510 EAST OGLETHORPE HWY
    HINESVILLE, GA
    ZIP 31313
  • Facility Phone: 912 369-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL J. SHARKEY MD
  • NPI Number: 1245328913
  • Taxonomy: 207ND0900X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0963568
LAB Type Physician Office
Facility Name GEORGIA DERMATOLOGY & SKIN CANCER CENTER LLC
Street 510 EAST OGLETHORPE HWY
City HINESVILLE
State GA
ZIP 31313
Phone 912 369-7546
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 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director MICHAEL J. SHARKEY MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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