33D2249154 CLIA NUMBER - SKIN FOCUSED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 33D2249154
  • Facility Name: SKIN FOCUSED DERMATOLOGY
  • Facility Address: 150 PURCHASE ST - SUITE 12
    RYE, NY
    ZIP 10580
  • Facility Phone: 914 908-3376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEREDITH K. KOSANN
  • NPI Number: 1710391750
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2249154
LAB Type Physician Office
Facility Name SKIN FOCUSED DERMATOLOGY
Street 150 PURCHASE ST - SUITE 12
City RYE
State NY
ZIP 10580
Phone 914 908-3376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2022
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. MEREDITH K. KOSANN

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