26D0685777 CLIA NUMBER - DERMATOLOGY CENTER, THE

Laboratory Demographics

  • CLIA Code: 26D0685777
  • Facility Name: DERMATOLOGY CENTER, THE
  • Facility Address: 10101 STOLTZ DR
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 364-0122
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM V. STOECKER
  • NPI Number: 1154486827
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0685777
LAB Type Physician Office
Facility Name DERMATOLOGY CENTER, THE
Street 10101 STOLTZ DR
City ROLLA
State MO
ZIP 65401
Phone 573 364-0122
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director WILLIAM V. STOECKER

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