23D2077428 CLIA NUMBER - DERMATOLOGY SPECIALISTS OF CANTON

Laboratory Demographics

  • CLIA Code: 23D2077428
  • Facility Name: DERMATOLOGY SPECIALISTS OF CANTON
  • Facility Address: 361 N CANTON CENTER RD
    CANTON, MI
    ZIP 48187
  • Facility Phone: (734) 495-1506
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MATTEO C. LOPICCOLO
  • NPI Number: 1114652831
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2077428
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS OF CANTON
Street 361 N CANTON CENTER RD
City CANTON
State MI
ZIP 48187
Phone 7344951506
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 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director MATTEO C. LOPICCOLO

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This page was last updated on: 5/18/2026