21D2238172 CLIA NUMBER - CLEAR SKIN FOR YOU

Laboratory Demographics

  • CLIA Code: 21D2238172
  • Facility Name: CLEAR SKIN FOR YOU
  • Facility Address: 3213 CORPORATE COURT
    ELLICOTT CITY, MD
    ZIP 21042
  • Facility Phone: 410 870-8225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE L. LECLAIR
  • NPI Number: 1023784832
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D2238172
LAB Type Physician Office
Facility Name CLEAR SKIN FOR YOU
Street 3213 CORPORATE COURT
City ELLICOTT CITY
State MD
ZIP 21042
Phone 410 870-8225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DANIELLE L. LECLAIR

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