34D0247590 CLIA NUMBER - MOUNTAIN LAUREL DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 34D0247590
  • Facility Name: MOUNTAIN LAUREL DERMATOLOGY, PLLC
  • Facility Address: 11 FALCON CREST LANE
    CLYDE, NC
    ZIP 28721
  • Facility Phone: 828 565-0560
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GINA R. SINGLETON
  • NPI Number: 1700298635
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D0247590
LAB Type Physician Office
Facility Name MOUNTAIN LAUREL DERMATOLOGY, PLLC
Street 11 FALCON CREST LANE
City CLYDE
State NC
ZIP 28721
Phone 828 565-0560
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 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director GINA R. SINGLETON

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