33D2194979 CLIA NUMBER - ADVANCED DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2194979
  • Facility Name: ADVANCED DERMATOLOGY PC
  • Facility Address: 200 CENTRAL PARK SOUTH SUITE #107
    NEW YORK, NY
    ZIP 10019
  • Facility Phone: 212 262-2500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ATON M. HOLZER
  • NPI Number: 1205037058
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D2194979
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY PC
Street 200 CENTRAL PARK SOUTH SUITE #107
City NEW YORK
State NY
ZIP 10019
Phone 212 262-2500
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 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director DR. ATON M. HOLZER

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