15D2191794 CLIA NUMBER - DERMATOLOGY, INC

Laboratory Demographics

  • CLIA Code: 15D2191794
  • Facility Name: DERMATOLOGY, INC
  • Facility Address: 13250 HAZEL DELL PARKWAY SUITE 100
    CARMEL, IN
    ZIP 46033
  • Facility Phone: 317 926-3739
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN B. STEPHENS
  • NPI Number: 1053421610
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2191794
LAB Type Physician Office
Facility Name DERMATOLOGY, INC
Street 13250 HAZEL DELL PARKWAY SUITE 100
City CARMEL
State IN
ZIP 46033
Phone 317 926-3739
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN B. STEPHENS

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