11D2047071 CLIA NUMBER - COLE DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 11D2047071
  • Facility Name: COLE DERMATOLOGY, LLC
  • Facility Address: 2410 NORTH OAK STREET
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 241-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN A. COLE
  • NPI Number: 1457612491
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2047071
LAB Type Physician Office
Facility Name COLE DERMATOLOGY, LLC
Street 2410 NORTH OAK STREET
City VALDOSTA
State GA
ZIP 31602
Phone 229 241-7546
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 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director JOHN A. COLE

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