31D1036684 CLIA NUMBER - ATLANTIC DERMATOLOGY & LASER CENTER

Laboratory Demographics

CLIA Number: 31D1036684

Facility Name: ATLANTIC DERMATOLOGY & LASER CENTER

Facility Address:
1401 NEW ROAD UNIT A
LINWOOD, NJ
ZIP 08221
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Facility Phone Number: 609 927-5885

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1740831049

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D1036684
LAB Type	Physician Office
Facility Name	ATLANTIC DERMATOLOGY & LASER CENTER
Street	1401 NEW ROAD UNIT A
City	LINWOOD
State	NJ
ZIP	08221
Phone	609 927-5885
CertificateType	2
CertificateEffectiveDate	3/22/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024