36D2003805 CLIA NUMBER - PREMIER DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 36D2003805
  • Facility Name: PREMIER DERMATOLOGY LLC
  • Facility Address: 29001 CEDAR RD STE 615
    LYNDHURST, OH
    ZIP 44124
  • Facility Phone: 440 684-9933
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JANET S. WIESELTHIER
  • NPI Number: 1003146721
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2003805
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY LLC
Street 29001 CEDAR RD STE 615
City LYNDHURST
State OH
ZIP 44124
Phone 440 684-9933
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 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director DR. JANET S. WIESELTHIER

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