15D2186531 CLIA NUMBER - ASSOCIATES IN DERMATOLOGY

Laboratory Demographics

CLIA Code: 15D2186531
Facility Name: ASSOCIATES IN DERMATOLOGY
Facility Address: 1005 E LEWIS AND CLARK PARKWAY SPECTRUM
CLARKSVILLE, IN
ZIP 47129
Facility Phone: 502 625-2205
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: MEGAN B. VISSING
NPI Number: 1881956803
Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name	Field Value
CLIA Number	15D2186531
LAB Type	Physician Office
Facility Name	ASSOCIATES IN DERMATOLOGY
Street	1005 E LEWIS AND CLARK PARKWAY SPECTRUM
City	CLARKSVILLE
State	IN
ZIP	47129
Phone	502 625-2205
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	6/18/2024
Certificate Expiration Date	6/17/2026
Facility Type	Physician Office
Lab Director	MEGAN B. VISSING

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