31D2100417 CLIA NUMBER - DERMATOLOGY CLINIC, THE

Laboratory Demographics

  • CLIA Code: 31D2100417
  • Facility Name: DERMATOLOGY CLINIC, THE
  • Facility Address: 79 SCHANCK ROAD UNIT D3
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 770 630-8299
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PATRICK K. SAFO
  • NPI Number: 1205431574
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2100417
LAB Type Physician Office
Facility Name DERMATOLOGY CLINIC, THE
Street 79 SCHANCK ROAD UNIT D3
City FREEHOLD
State NJ
ZIP 07728
Phone 770 630-8299
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 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director PATRICK K. SAFO

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