26D2012523 CLIA NUMBER - DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL

Laboratory Demographics

  • CLIA Code: 26D2012523
  • Facility Name: DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL
  • Facility Address: 110 BUSINESS PARK DRIVE SUITE C
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 336-0033
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ADRIENNE M. SCHUPBACH
  • NPI Number: 1154511004
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 26D2012523
LAB Type Physician Office
Facility Name DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL
Street 110 BUSINESS PARK DRIVE SUITE C
City BRANSON
State MO
ZIP 65616
Phone 417 336-0033
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 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director ADRIENNE M. SCHUPBACH

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