34D2150934 CLIA NUMBER - FOREST DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 34D2150934
  • Facility Name: FOREST DERMATOLOGY PA
  • Facility Address: 1700 ASHEVILLE HIGHWAY
    HENDERSONVILLE, NC
    ZIP 28792
  • Facility Phone: 828 274-6003
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LOGAN S. DSOUZA
  • NPI Number: 1396926507
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2150934
LAB Type Physician Office
Facility Name FOREST DERMATOLOGY PA
Street 1700 ASHEVILLE HIGHWAY
City HENDERSONVILLE
State NC
ZIP 28792
Phone 828 274-6003
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 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director LOGAN S. DSOUZA

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