39D1055452 CLIA NUMBER - BRYN MAWR DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 39D1055452
  • Facility Name: BRYN MAWR DERMATOLOGY, PC
  • Facility Address: 775 E LANCASTER AVE, SUITE 200
    VILLANOVA, PA
    ZIP 19085
  • Facility Phone: 610 525-7800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINE S. STANKO
  • NPI Number: 1194558601
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D1055452
LAB Type Physician Office
Facility Name BRYN MAWR DERMATOLOGY, PC
Street 775 E LANCASTER AVE, SUITE 200
City VILLANOVA
State PA
ZIP 19085
Phone 610 525-7800
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 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director CHRISTINE S. STANKO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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