34D0247137 CLIA NUMBER - WESTERN PIEDMONT DERMATOLOGY - AN AFFILIATE OF SKIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D0247137
  • Facility Name: WESTERN PIEDMONT DERMATOLOGY - AN AFFILIATE OF SKIN SURGERY CENTER
  • Facility Address: 111 FOOTHILLS DRIVE, SUITE B
    MORGANTON, NC
    ZIP 28655
  • Facility Phone: 336 607-8061
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAKE E. TURRENTINE
  • NPI Number: 1811175763
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D0247137
LAB Type Physician Office
Facility Name WESTERN PIEDMONT DERMATOLOGY - AN AFFILIATE OF SKIN SURGERY CENTER
Street 111 FOOTHILLS DRIVE, SUITE B
City MORGANTON
State NC
ZIP 28655
Phone 336 607-8061
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 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director JAKE E. TURRENTINE

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