16D2244426 CLIA NUMBER - RADIANT COMPLEXIONS DERMATOLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 16D2244426
  • Facility Name: RADIANT COMPLEXIONS DERMATOLOGY CLINIC
  • Facility Address: 2420 4TH STREET SW
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 450-1637
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHAWN R. SABIN
  • NPI Number: 1679687081
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D2244426
LAB Type Physician Office
Facility Name RADIANT COMPLEXIONS DERMATOLOGY CLINIC
Street 2420 4TH STREET SW
City MASON CITY
State IA
ZIP 50401
Phone 641 450-1637
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 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director SHAWN R. SABIN

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This page was last updated on: 6/4/2025