22D2330230 CLIA NUMBER - PREMIER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 22D2330230
  • Facility Name: PREMIER DERMATOLOGY
  • Facility Address: 372 WASHINGTON STREET, 3RD FLOOR
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 304-8680
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELISSA BURNETT
  • NPI Number: 1669028353
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2330230
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY
Street 372 WASHINGTON STREET, 3RD FLOOR
City WELLESLEY
State MA
ZIP 02481
Phone 781 304-8680
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 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director MELISSA BURNETT

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