36D2136485 CLIA NUMBER - ADVANCED DERMATOLOGY OF OHIO

Laboratory Demographics

  • CLIA Code: 36D2136485
  • Facility Name: ADVANCED DERMATOLOGY OF OHIO
  • Facility Address: 4834 SOCIALVILLE FOSTER ROAD, STE 20
    MASON, OH
    ZIP 45040
  • Facility Phone: 513 459-1988
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KEONI NGUYEN
  • NPI Number: 1780617860
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2136485
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF OHIO
Street 4834 SOCIALVILLE FOSTER ROAD, STE 20
City MASON
State OH
ZIP 45040
Phone 513 459-1988
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 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director KEONI NGUYEN

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