34D2279713 CLIA NUMBER - BEACON DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 34D2279713
  • Facility Name: BEACON DERMATOLOGY, PLLC
  • Facility Address: 76 PEACHTREE ROAD, SUITE 120
    ASHEVILLE, NC
    ZIP 28803
  • Facility Phone: 828 412-0688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. RAINS
  • NPI Number: 1598486565
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2279713
LAB Type Physician Office
Facility Name BEACON DERMATOLOGY, PLLC
Street 76 PEACHTREE ROAD, SUITE 120
City ASHEVILLE
State NC
ZIP 28803
Phone 828 412-0688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director MICHAEL L. RAINS

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