21D2272601 CLIA NUMBER - DOCKSIDE DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 21D2272601
  • Facility Name: DOCKSIDE DERMATOLOGY LLC
  • Facility Address: 8601 VETERANS HWY #201
    MILLERSVILLE, MD
    ZIP 21108
  • Facility Phone: 410 934-5400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHANIE A. CLEMENTS
  • NPI Number: 1194479972
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D2272601
LAB Type Physician Office
Facility Name DOCKSIDE DERMATOLOGY LLC
Street 8601 VETERANS HWY #201
City MILLERSVILLE
State MD
ZIP 21108
Phone 410 934-5400
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 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director DR. STEPHANIE A. CLEMENTS

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