34D0860277 CLIA NUMBER - HICKORY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 34D0860277
  • Facility Name: HICKORY DERMATOLOGY
  • Facility Address: 1899 TATE BOULEVARD SE, SUITE 2110
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 828 328-4449
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GERARDO A. MARRAZZO
  • NPI Number: 1295845386
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D0860277
LAB Type Physician Office
Facility Name HICKORY DERMATOLOGY
Street 1899 TATE BOULEVARD SE, SUITE 2110
City HICKORY
State NC
ZIP 28602
Phone 828 328-4449
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 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director GERARDO A. MARRAZZO

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