31D2001790 CLIA NUMBER - AESTHETIC DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 31D2001790
  • Facility Name: AESTHETIC DERMATOLOGY, LLC
  • Facility Address: 771 ROUTE 70 E SUITE D-150
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 856 596-3393
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDRIY PAVLENKO
  • NPI Number: 1750449104
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2001790
LAB Type Physician Office
Facility Name AESTHETIC DERMATOLOGY, LLC
Street 771 ROUTE 70 E SUITE D-150
City MARLTON
State NJ
ZIP 08053
Phone 856 596-3393
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 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director ANDRIY PAVLENKO

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