34D1085830 CLIA NUMBER - RALEIGH SKIN SURGERY CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 34D1085830
  • Facility Name: RALEIGH SKIN SURGERY CENTER, PLLC
  • Facility Address: 3811 ED DRIVE, SUITE 110
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: (919) 390-0200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TAMARA S. HOUSMAN
  • NPI Number: 1881864411
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D1085830
LAB Type Physician Office
Facility Name RALEIGH SKIN SURGERY CENTER, PLLC
Street 3811 ED DRIVE, SUITE 110
City RALEIGH
State NC
ZIP 27612
Phone 9193900200
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 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director TAMARA S. HOUSMAN

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This page was last updated on: 5/18/2026