15D2295095 CLIA NUMBER - SKIN DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 15D2295095
  • Facility Name: SKIN DERMATOLOGY, LLC
  • Facility Address: 1950 45TH STREET, SUITE 200
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 912-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TARUN N. KUKREJA
  • NPI Number: 1386399749
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2295095
LAB Type Physician Office
Facility Name SKIN DERMATOLOGY, LLC
Street 1950 45TH STREET, SUITE 200
City MUNSTER
State IN
ZIP 46321
Phone 219 912-3376
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 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director TARUN N. KUKREJA

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