11D2309942 CLIA NUMBER - DERMATOLOGY AFFILIATES RESEARCH INSTITUTE

Laboratory Demographics

  • CLIA Code: 11D2309942
  • Facility Name: DERMATOLOGY AFFILIATES RESEARCH INSTITUTE
  • Facility Address: 3131 MAPLE DRIVE, NE, SUITE 201
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 612 502-4310
  • Facility Type: Other - CLINICAL RESEARCH
  • Facility Type: Waiver
  • Lab Director: VIRGINIA R. FORNEY
  • NPI Number: 1730244872
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2309942
LAB Type Other - CLINICAL RESEARCH
Facility Name DERMATOLOGY AFFILIATES RESEARCH INSTITUTE
Street 3131 MAPLE DRIVE, NE, SUITE 201
City ATLANTA
State GA
ZIP 30305
Phone 612 502-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Other - CLINICAL RESEARCH
Lab Director VIRGINIA R. FORNEY

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