15D2136106 CLIA NUMBER - DERMATOLOGY AND SKIN CANCER CENTER OF SOUTHERN INDIANA

Laboratory Demographics

  • CLIA Code: 15D2136106
  • Facility Name: DERMATOLOGY AND SKIN CANCER CENTER OF SOUTHERN INDIANA
  • Facility Address: 1263 HOSPITAL DR, SUITE 240
    CORYDON, IN
    ZIP 47112
  • Facility Phone: 812 734-3881
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MEGAN N. LANDIS
  • NPI Number: 1932629722
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2136106
LAB Type Physician Office
Facility Name DERMATOLOGY AND SKIN CANCER CENTER OF SOUTHERN INDIANA
Street 1263 HOSPITAL DR, SUITE 240
City CORYDON
State IN
ZIP 47112
Phone 812 734-3881
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 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director MEGAN N. LANDIS

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