31D0954675 CLIA NUMBER - ADVANCED DERMATOLOGY CENTER PC

Laboratory Demographics

  • CLIA Code: 31D0954675
  • Facility Name: ADVANCED DERMATOLOGY CENTER PC
  • Facility Address: 18 BRIDGE STREET
    METUCHEN, NJ
    ZIP 08840
  • Facility Phone: 732 635-1200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JANE M. LEE MD
  • NPI Number: 1710074778
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D0954675
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY CENTER PC
Street 18 BRIDGE STREET
City METUCHEN
State NJ
ZIP 08840
Phone 732 635-1200
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 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director JANE M. LEE MD

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