11D2266398 CLIA NUMBER - GALLOWAY DERMATOLOGIC SURGERY

Laboratory Demographics

  • CLIA Code: 11D2266398
  • Facility Name: GALLOWAY DERMATOLOGIC SURGERY
  • Facility Address: 2500 TRAILS CREEK ROAD
    ELLIJAY, GA
    ZIP 30540
  • Facility Phone: 678 888-4460
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TREPHINA GALLOWAY
  • NPI Number: 1447803424
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2266398
LAB Type Physician Office
Facility Name GALLOWAY DERMATOLOGIC SURGERY
Street 2500 TRAILS CREEK ROAD
City ELLIJAY
State GA
ZIP 30540
Phone 678 888-4460
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 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director TREPHINA GALLOWAY

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