24D2075059 CLIA NUMBER - MY DERMATOLOGIST

Laboratory Demographics

  • CLIA Code: 24D2075059
  • Facility Name: MY DERMATOLOGIST
  • Facility Address: 5565 BLAINE AVENUE #200
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 621-8888
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MALINEE SAXENA
  • NPI Number: 1073937793
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 24D2075059
LAB Type Physician Office
Facility Name MY DERMATOLOGIST
Street 5565 BLAINE AVENUE #200
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 621-8888
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 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MALINEE SAXENA

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