36D1013069 CLIA NUMBER - BOARD CERTIFIED DERMATOPATHOLOGY INC

Laboratory Demographics

  • CLIA Code: 36D1013069
  • Facility Name: BOARD CERTIFIED DERMATOPATHOLOGY INC
  • Facility Address: 5208 MAHONING AVENUE SUITE 208
    YOUNGSTOWN, OH
    ZIP 44515
  • Facility Phone: 330 270-0857
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. PAMELA M. GUERRIERE-KOVACH
  • NPI Number: 1902963358
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 36D1013069
LAB Type Independent
Facility Name BOARD CERTIFIED DERMATOPATHOLOGY INC
Street 5208 MAHONING AVENUE SUITE 208
City YOUNGSTOWN
State OH
ZIP 44515
Phone 330 270-0857
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Independent
Lab Director DR. PAMELA M. GUERRIERE-KOVACH

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