28D2190848 CLIA NUMBER - ADVANCED DERMATOLOGY AND SKIN CANCER, PA DBA PREMIER DERMATOLOGY SKIN CANCER SPECIALISTS, PC

Laboratory Demographics

  • CLIA Code: 28D2190848
  • Facility Name: ADVANCED DERMATOLOGY AND SKIN CANCER, PA DBA PREMIER DERMATOLOGY SKIN CANCER SPECIALISTS, PC
  • Facility Address: 747 N BURLINGTON AVENUE, SUITE 312
    HASTINGS, NE
    ZIP 68901
  • Facility Phone: 402 462-4872
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN R. ADAMS
  • NPI Number: 1922343680
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2190848
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND SKIN CANCER, PA DBA PREMIER DERMATOLOGY SKIN CANCER SPECIALISTS, PC
Street 747 N BURLINGTON AVENUE, SUITE 312
City HASTINGS
State NE
ZIP 68901
Phone 402 462-4872
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 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director DR. JOHN R. ADAMS

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