15D0359653 CLIA NUMBER - DERMATOLOGY PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 15D0359653
  • Facility Name: DERMATOLOGY PHYSICIANS INC
  • Facility Address: 360 PLAZA DRIVE STE C
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 376-9686
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL P. SHEEHAN
  • NPI Number: 1932135241
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D0359653
LAB Type Physician Office
Facility Name DERMATOLOGY PHYSICIANS INC
Street 360 PLAZA DRIVE STE C
City COLUMBUS
State IN
ZIP 47201
Phone 812 376-9686
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director MICHAEL P. SHEEHAN

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