22D2136858 CLIA NUMBER - ADULT & PEDIATRIC DERMATOLOGY/COASTAL DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 22D2136858
  • Facility Name: ADULT & PEDIATRIC DERMATOLOGY/COASTAL DERMATOLOGY INC
  • Facility Address: 829 AMERICAN LEGION HIGHWAY
    WESTPORT, MA
    ZIP 02790
  • Facility Phone: 508 306-3791
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEVEN KRUEGER
  • NPI Number: 1760927610
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2136858
LAB Type Physician Office
Facility Name ADULT & PEDIATRIC DERMATOLOGY/COASTAL DERMATOLOGY INC
Street 829 AMERICAN LEGION HIGHWAY
City WESTPORT
State MA
ZIP 02790
Phone 508 306-3791
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 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director STEVEN KRUEGER

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