18D1077493 CLIA NUMBER - TAMELLA BUSS CASSIS, MD, PLLC DBA CASSIS DERMATOLOGY AND AESTHETICS CENTER

Laboratory Demographics

  • CLIA Code: 18D1077493
  • Facility Name: TAMELLA BUSS CASSIS, MD, PLLC DBA CASSIS DERMATOLOGY AND AESTHETICS CENTER
  • Facility Address: 9301 DAYFLOWER STREET, SUITE 100
    PROSPECT, KY
    ZIP 40059
  • Facility Phone: 502 326-8588
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMELLA B. CASSIS, MD
  • NPI Number: 1669657151
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D1077493
LAB Type Physician Office
Facility Name TAMELLA BUSS CASSIS, MD, PLLC DBA CASSIS DERMATOLOGY AND AESTHETICS CENTER
Street 9301 DAYFLOWER STREET, SUITE 100
City PROSPECT
State KY
ZIP 40059
Phone 502 326-8588
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 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director TAMELLA B. CASSIS, MD

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