11D2108423 CLIA NUMBER - DIAGNOSTIC DERMATOPATHOLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 11D2108423
  • Facility Name: DIAGNOSTIC DERMATOPATHOLOGY ASSOCIATES, LLC
  • Facility Address: 2101 BROOKSTONE CENTRE PARKWAY, SUITE 300
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 256-1133
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LIAQAT ALI
  • NPI Number: 1770958092
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2108423
LAB Type Independent
Facility Name DIAGNOSTIC DERMATOPATHOLOGY ASSOCIATES, LLC
Street 2101 BROOKSTONE CENTRE PARKWAY, SUITE 300
City COLUMBUS
State GA
ZIP 31904
Phone 706 256-1133
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 9/27/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director LIAQAT ALI

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