33D2097666 CLIA NUMBER - UNIVERSAL DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 33D2097666
  • Facility Name: UNIVERSAL DERMATOLOGY, PLLC
  • Facility Address: 6800 PITTSFORD PALMYRA RD, STE 150
    FAIRPORT, NY
    ZIP 14450
  • Facility Phone: 585 364-1177
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ELAINE S. GILMORE
  • NPI Number: 1013304070
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2097666
LAB Type Physician Office
Facility Name UNIVERSAL DERMATOLOGY, PLLC
Street 6800 PITTSFORD PALMYRA RD, STE 150
City FAIRPORT
State NY
ZIP 14450
Phone 585 364-1177
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 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director DR. ELAINE S. GILMORE

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