33D0161894 CLIA NUMBER - SKIN SPECIALISTS OF THE CAPTIAL REGION

Laboratory Demographics

  • CLIA Code: 33D0161894
  • Facility Name: SKIN SPECIALISTS OF THE CAPTIAL REGION
  • Facility Address: 2 EXCUTIVE PARK DRIVE 2ND FLOOR
    ALBANY, NY
    ZIP 12203
  • Facility Phone: 518 452-1928
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DENNIS KIM
  • NPI Number: 1710918255
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0161894
LAB Type Physician Office
Facility Name SKIN SPECIALISTS OF THE CAPTIAL REGION
Street 2 EXCUTIVE PARK DRIVE 2ND FLOOR
City ALBANY
State NY
ZIP 12203
Phone 518 452-1928
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 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director DR. DENNIS KIM

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