33D0713479 CLIA NUMBER - ADVANCED DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 33D0713479
  • Facility Name: ADVANCED DERMATOLOGY PLLC
  • Facility Address: 315 GRANT AVENUE
    LAKE KATRINE, NY
    ZIP 12449
  • Facility Phone: 845 339-2525
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KENNETH T. KIRCHER
  • NPI Number: 1992725279
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0713479
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY PLLC
Street 315 GRANT AVENUE
City LAKE KATRINE
State NY
ZIP 12449
Phone 845 339-2525
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 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director DR. KENNETH T. KIRCHER

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