22D2158894 CLIA NUMBER - DERMWELLESLEY, LLC

Laboratory Demographics

  • CLIA Code: 22D2158894
  • Facility Name: DERMWELLESLEY, LLC
  • Facility Address: 20 WILLIAM ST G15
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 591-4234
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TIFFANY SUN
  • NPI Number: 1811478092
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2158894
LAB Type Physician Office
Facility Name DERMWELLESLEY, LLC
Street 20 WILLIAM ST G15
City WELLESLEY
State MA
ZIP 02481
Phone 781 591-4234
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 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director TIFFANY SUN

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