33D0967162 CLIA NUMBER - DERMATOLOGY CONSULTANTS LLC

Laboratory Demographics

  • CLIA Code: 33D0967162
  • Facility Name: DERMATOLOGY CONSULTANTS LLC
  • Facility Address: 6711 TOWPATH ROAD - STE 155
    EAST SYRACUSE, NY
    ZIP 13057
  • Facility Phone: (315) 701-0070
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MADHAVI MENON
  • NPI Number: 1154491561
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D0967162
LAB Type Physician Office
Facility Name DERMATOLOGY CONSULTANTS LLC
Street 6711 TOWPATH ROAD - STE 155
City EAST SYRACUSE
State NY
ZIP 13057
Phone 3157010070
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 11/4/2025
Certificate Expiration Date 11/3/2027
Facility Type Physician Office
Lab Director DR. MADHAVI MENON

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This page was last updated on: 5/18/2026