39D1029519 CLIA NUMBER - CHILDRENS DERMATOLOGY SERVICES

Laboratory Demographics

  • CLIA Code: 39D1029519
  • Facility Name: CHILDRENS DERMATOLOGY SERVICES
  • Facility Address: 11279 PERRY HIGHWAY
    WEXFORD, PA
    ZIP 15090
  • Facility Phone: 724 933-9190
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS KRESS MD
  • NPI Number: 1508874041
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D1029519
LAB Type Physician Office
Facility Name CHILDRENS DERMATOLOGY SERVICES
Street 11279 PERRY HIGHWAY
City WEXFORD
State PA
ZIP 15090
Phone 724 933-9190
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director DOUGLAS KRESS MD

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