11D2144831 CLIA NUMBER - CARROLLTON DERMATOLOGY & SKIN CANCER ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2144831
  • Facility Name: CARROLLTON DERMATOLOGY & SKIN CANCER ASSOCIATES
  • Facility Address: 410 DIXIE STREET
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 834-0818
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARY M. FELDMAN
  • NPI Number: 1699215541
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2144831
LAB Type Physician Office
Facility Name CARROLLTON DERMATOLOGY & SKIN CANCER ASSOCIATES
Street 410 DIXIE STREET
City CARROLLTON
State GA
ZIP 30117
Phone 770 834-0818
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 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director MARY M. FELDMAN

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