22D2111053 CLIA NUMBER - DERMCARE LLC

Laboratory Demographics

  • CLIA Code: 22D2111053
  • Facility Name: DERMCARE LLC
  • Facility Address: 1250 HANCOCK ST STE 505 S
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 781 253-7165
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VICTORIA KUOHUNG
  • NPI Number: 1568877447
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2111053
LAB Type Physician Office
Facility Name DERMCARE LLC
Street 1250 HANCOCK ST STE 505 S
City QUINCY
State MA
ZIP 02169
Phone 781 253-7165
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 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director VICTORIA KUOHUNG

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