23D2294476 CLIA NUMBER - V DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D2294476
  • Facility Name: V DERMATOLOGY
  • Facility Address: 440 COBB STREET
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 642-5031
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DOUGLAS M. RICHLEY
  • NPI Number: 1922536986
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2294476
LAB Type Physician Office
Facility Name V DERMATOLOGY
Street 440 COBB STREET
City CADILLAC
State MI
ZIP 49601
Phone 231 642-5031
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director DOUGLAS M. RICHLEY

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