26D2174286 CLIA NUMBER - DIMMICK LAUGHLIN DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 26D2174286
  • Facility Name: DIMMICK LAUGHLIN DERMATOLOGY LLC
  • Facility Address: 413 N MCCROSKEY, SUITE 3
    NIXA, MO
    ZIP 65714
  • Facility Phone: 417 882-1818
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSHUA R. DIMMICK
  • NPI Number: 1427501394
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2174286
LAB Type Physician Office
Facility Name DIMMICK LAUGHLIN DERMATOLOGY LLC
Street 413 N MCCROSKEY, SUITE 3
City NIXA
State MO
ZIP 65714
Phone 417 882-1818
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 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director JOSHUA R. DIMMICK

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