11D1054342 CLIA NUMBER - DERMATOLOGY AFFILIATES PC

Laboratory Demographics

  • CLIA Code: 11D1054342
  • Facility Name: DERMATOLOGY AFFILIATES PC
  • Facility Address: 3131 MAPLE DRIVE, SUITE 102
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 404 816-7900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: V RUTLEDGE FORNEY
  • NPI Number: 1891050886
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D1054342
LAB Type Physician Office
Facility Name DERMATOLOGY AFFILIATES PC
Street 3131 MAPLE DRIVE, SUITE 102
City ATLANTA
State GA
ZIP 30305
Phone 404 816-7900
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 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director V RUTLEDGE FORNEY

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