34D2056673 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA

Home > CLIA Lookup > 34D2056673

Laboratory Demographics

CLIA Number: 34D2056673

Facility Name: DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA

Facility Address:
2145 COUNTRY CLUB RD, SUITE 100
JACKSONVILLE, NC
ZIP 28546
Get Directions

Facility Phone Number: 910 333-9337

Facility Type: Practitioner Other

Certificate Type: Certificate of Compliance

NPI Number: 1033459011

Taxonomy: 207NI0002X - Dermatology
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

CLIA Record

Field Name	Field Value
CLIA Number	34D2056673
LAB Type	Practitioner Other
Facility Name	DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
Street	2145 COUNTRY CLUB RD, SUITE 100
City	JACKSONVILLE
State	NC
ZIP	28546
Phone	910 333-9337
CertificateType	2
CertificateEffectiveDate	3/27/2024
CertificateExpirationDate	3/26/2026
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024