39D2109579 CLIA NUMBER - CARLISLE DERMATOLOGY GROUP LLC

Laboratory Demographics

  • CLIA Code: 39D2109579
  • Facility Name: CARLISLE DERMATOLOGY GROUP LLC
  • Facility Address: 41 EASTGATE DRIVE
    CARLISLE, PA
    ZIP 17015
  • Facility Phone: 717 701-8251
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JULIAN M. NGO
  • NPI Number: 1962802249
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2109579
LAB Type Physician Office
Facility Name CARLISLE DERMATOLOGY GROUP LLC
Street 41 EASTGATE DRIVE
City CARLISLE
State PA
ZIP 17015
Phone 717 701-8251
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 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director DR. JULIAN M. NGO

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