34D0698872 CLIA NUMBER - DAVIE DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 34D0698872
  • Facility Name: DAVIE DERMATOLOGY, PA
  • Facility Address: 108 DORNACH WAY
    ADVANCE, NC
    ZIP 27006
  • Facility Phone: 336 940-2407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FRANK A. LACY
  • NPI Number: 1922060649
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D0698872
LAB Type Physician Office
Facility Name DAVIE DERMATOLOGY, PA
Street 108 DORNACH WAY
City ADVANCE
State NC
ZIP 27006
Phone 336 940-2407
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 8/21/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director FRANK A. LACY

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