17D0450089 CLIA NUMBER - DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 17D0450089
  • Facility Name: DERMATOLOGY PA
  • Facility Address: 1706 SW 10TH AVE
    TOPEKA, KS
    ZIP 66604
  • Facility Phone: (785) 357-5166
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT D. DURST
  • NPI Number: 1164663308
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 17D0450089
LAB Type Physician Office
Facility Name DERMATOLOGY PA
Street 1706 SW 10TH AVE
City TOPEKA
State KS
ZIP 66604
Phone 7853575166
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 3/8/2026
Certificate Expiration Date 3/7/2028
Facility Type Physician Office
Lab Director ROBERT D. DURST

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This page was last updated on: 5/18/2026