34D2306363 CLIA NUMBER - ESSE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 34D2306363
  • Facility Name: ESSE DERMATOLOGY
  • Facility Address: 2550 FREEDOM DRIVE, UNIT B
    CHARLOTTE, NC
    ZIP 28208
  • Facility Phone: 980 533-4844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADA OGUNSIAKAN
  • NPI Number: 1063286482
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2306363
LAB Type Physician Office
Facility Name ESSE DERMATOLOGY
Street 2550 FREEDOM DRIVE, UNIT B
City CHARLOTTE
State NC
ZIP 28208
Phone 980 533-4844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director ADA OGUNSIAKAN

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