39D1041216 CLIA NUMBER - BALDASSANO DERMATOPATHOLOGY PC

Laboratory Demographics

  • CLIA Code: 39D1041216
  • Facility Name: BALDASSANO DERMATOPATHOLOGY PC
  • Facility Address: 101 HILLCREST LANE
    LOWER GWYNEDD, PA
    ZIP 19002
  • Facility Phone: 215 628-0855
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARISA F. BALDASSANO
  • NPI Number: 1427000686
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D1041216
LAB Type Independent
Facility Name BALDASSANO DERMATOPATHOLOGY PC
Street 101 HILLCREST LANE
City LOWER GWYNEDD
State PA
ZIP 19002
Phone 215 628-0855
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 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Independent
Lab Director MARISA F. BALDASSANO

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