14D0699271 CLIA NUMBER - MOORE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D0699271
  • Facility Name: MOORE DERMATOLOGY
  • Facility Address: 501 W NORTH AVE, #103
    MELROSE PARK, IL
    ZIP 60160
  • Facility Phone: 708 450-5086
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JULIE A. MOORE
  • NPI Number: 1659552875
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D0699271
LAB Type Physician Office
Facility Name MOORE DERMATOLOGY
Street 501 W NORTH AVE, #103
City MELROSE PARK
State IL
ZIP 60160
Phone 708 450-5086
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 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director JULIE A. MOORE

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