33D0159964 CLIA NUMBER - AESTHETIC DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 33D0159964
  • Facility Name: AESTHETIC DERMATOLOGY LLC
  • Facility Address: 800 WOODBURY RD, SUITE A
    WOODBURY, NY
    ZIP 11797
  • Facility Phone: 516 496-9400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. WENDY LOU
  • NPI Number: 1821125956
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0159964
LAB Type Physician Office
Facility Name AESTHETIC DERMATOLOGY LLC
Street 800 WOODBURY RD, SUITE A
City WOODBURY
State NY
ZIP 11797
Phone 516 496-9400
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 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director DR. WENDY LOU

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