23D2255421 CLIA NUMBER - NEW DERMATOLOGY GROUP LTD

Laboratory Demographics

  • CLIA Code: 23D2255421
  • Facility Name: NEW DERMATOLOGY GROUP LTD
  • Facility Address: 1606 S STEPHENSON AVENUE
    IRON MOUNTAIN, MI
    ZIP 49801
  • Facility Phone: 920 965-0345
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVAN G. LEWIS
  • NPI Number: 1235480112
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2255421
LAB Type Physician Office
Facility Name NEW DERMATOLOGY GROUP LTD
Street 1606 S STEPHENSON AVENUE
City IRON MOUNTAIN
State MI
ZIP 49801
Phone 920 965-0345
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 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director KEVAN G. LEWIS

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