26D0868149 CLIA NUMBER - ADVANCED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 26D0868149
  • Facility Name: ADVANCED DERMATOLOGY
  • Facility Address: 16216 BAXTER RD STE 200
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 532-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK C. KORY MD
  • NPI Number: 1568582369
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0868149
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY
Street 16216 BAXTER RD STE 200
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 532-1000
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARK C. KORY MD

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