34D0869285 CLIA NUMBER - EAST CAROLINA DERMATOLOGY AND SKIN SURGERY, PLLC

Laboratory Demographics

  • CLIA Code: 34D0869285
  • Facility Name: EAST CAROLINA DERMATOLOGY AND SKIN SURGERY, PLLC
  • Facility Address: 600 MCCARTHY BOULEVARD
    NEW BERN, NC
    ZIP 28562
  • Facility Phone: 252 633-4200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH L. KLEIN
  • NPI Number: 1235383738
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D0869285
LAB Type Physician Office
Facility Name EAST CAROLINA DERMATOLOGY AND SKIN SURGERY, PLLC
Street 600 MCCARTHY BOULEVARD
City NEW BERN
State NC
ZIP 28562
Phone 252 633-4200
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 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director KENNETH L. KLEIN

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