25D0993428 CLIA NUMBER - DERMATOLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 25D0993428
  • Facility Name: DERMATOLOGY ASSOCIATES LLC
  • Facility Address: 501 MARSHALL STREET COLONNADES, SUITE 606
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 355-8555
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SABRA SULLIVAN
  • NPI Number: 1235318874
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0993428
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES LLC
Street 501 MARSHALL STREET COLONNADES, SUITE 606
City JACKSON
State MS
ZIP 39202
Phone 601 355-8555
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 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director SABRA SULLIVAN

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