34D2321019 CLIA NUMBER - FORA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 34D2321019
  • Facility Name: FORA DERMATOLOGY
  • Facility Address: 1668 NC HIGHWAY 16 SOUTH
    TAYLORSVILLE, NC
    ZIP 28681
  • Facility Phone: 704 230-1302
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BISHR A. AL-DABAGH
  • NPI Number: 1366086597
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2321019
LAB Type Physician Office
Facility Name FORA DERMATOLOGY
Street 1668 NC HIGHWAY 16 SOUTH
City TAYLORSVILLE
State NC
ZIP 28681
Phone 704 230-1302
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 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director BISHR A. AL-DABAGH

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