33D1062706 CLIA NUMBER - PAN DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 33D1062706
  • Facility Name: PAN DERMATOLOGY, PC
  • Facility Address: 105 EVERETT RD
    COLONIE, NY
    ZIP 12205
  • Facility Phone: 518 694-0999
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TEDDY D. PAN
  • NPI Number: 1821164096
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D1062706
LAB Type Physician Office
Facility Name PAN DERMATOLOGY, PC
Street 105 EVERETT RD
City COLONIE
State NY
ZIP 12205
Phone 518 694-0999
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 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. TEDDY D. PAN

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