34D1070444 CLIA NUMBER - SKIN SURGERY CENTER - MOUNT AIRY, THE

Laboratory Demographics

  • CLIA Code: 34D1070444
  • Facility Name: SKIN SURGERY CENTER - MOUNT AIRY, THE
  • Facility Address: 314 S. SOUTH STREET, SUITE 400
    MOUNT AIRY, NC
    ZIP 27030
  • Facility Phone: 336 789-4300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMY E. DEVORE
  • NPI Number: 1649237082
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1070444
LAB Type Physician Office
Facility Name SKIN SURGERY CENTER - MOUNT AIRY, THE
Street 314 S. SOUTH STREET, SUITE 400
City MOUNT AIRY
State NC
ZIP 27030
Phone 336 789-4300
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 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director AMY E. DEVORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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