36D2244902 CLIA NUMBER - ADVANCED DERMATOLOGY AND SKIN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 36D2244902
  • Facility Name: ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
  • Facility Address: 2525 EAST STATE STREET
    SALEM, OH
    ZIP 44460
  • Facility Phone: 330 271-8614
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CASEY DICKEY
  • NPI Number: 1831187764
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2244902
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
Street 2525 EAST STATE STREET
City SALEM
State OH
ZIP 44460
Phone 330 271-8614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director CASEY DICKEY

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