17D2133901 CLIA NUMBER - ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA

Laboratory Demographics

  • CLIA Code: 17D2133901
  • Facility Name: ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA
  • Facility Address: 2509 W 18TH AVENUE
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: 620 341-9335
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN R. ADAMS
  • NPI Number: 1669772893
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2133901
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA
Street 2509 W 18TH AVENUE
City EMPORIA
State KS
ZIP 66801
Phone 620 341-9335
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 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director JOHN R. ADAMS

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