34D2043305 CLIA NUMBER - SUMMIT PLASTIC SURGERY AND DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 34D2043305
  • Facility Name: SUMMIT PLASTIC SURGERY AND DERMATOLOGY
  • Facility Address: 1717 SHIPYARD BOULEVARD, SUITE 100
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 794-5355
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LYDIA B. SHEDLOFSKY
  • NPI Number: 1437749330
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2043305
LAB Type Physician Office
Facility Name SUMMIT PLASTIC SURGERY AND DERMATOLOGY
Street 1717 SHIPYARD BOULEVARD, SUITE 100
City WILMINGTON
State NC
ZIP 28403
Phone 910 794-5355
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 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director DR. LYDIA B. SHEDLOFSKY

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