11D1069247 CLIA NUMBER - LANE DERMATOLOGY AND DERMATOLOGICAL SURGERY

Laboratory Demographics

  • CLIA Code: 11D1069247
  • Facility Name: LANE DERMATOLOGY AND DERMATOLOGICAL SURGERY
  • Facility Address: 1210 BROOKSTONE CENTRE PARKWAY
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: (706) 322-1717
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSHUA E. LANE
  • NPI Number: 1437363587
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D1069247
LAB Type Physician Office
Facility Name LANE DERMATOLOGY AND DERMATOLOGICAL SURGERY
Street 1210 BROOKSTONE CENTRE PARKWAY
City COLUMBUS
State GA
ZIP 31904
Phone 7063221717
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 12/20/2025
Certificate Expiration Date 12/19/2027
Facility Type Physician Office
Lab Director JOSHUA E. LANE

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This page was last updated on: 5/15/2026