18D2005771 CLIA NUMBER - DERMATOLOGY & SKIN CANCER SPECIALISTS, PSC

Laboratory Demographics

  • CLIA Code: 18D2005771
  • Facility Name: DERMATOLOGY & SKIN CANCER SPECIALISTS, PSC
  • Facility Address: 3213 SUMMIT SQUARE SUITE 200
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 264-0557
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHNATHON C. EDGE
  • NPI Number: 1174692610
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D2005771
LAB Type Physician Office
Facility Name DERMATOLOGY & SKIN CANCER SPECIALISTS, PSC
Street 3213 SUMMIT SQUARE SUITE 200
City LEXINGTON
State KY
ZIP 40509
Phone 859 264-0557
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 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director DR. JOHNATHON C. EDGE

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