39D2121727 CLIA NUMBER - CHILDREN'S DERMATOLOGY SERVICES

Laboratory Demographics

  • CLIA Code: 39D2121727
  • Facility Name: CHILDREN'S DERMATOLOGY SERVICES
  • Facility Address: 4075 MONROEVILLE BLVD, SUITE 125
    MONROEVILLE, PA
    ZIP 15146
  • Facility Phone: 724 933-9190
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DOUGLAS W. KRESS
  • NPI Number: 1740244110
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2121727
LAB Type Physician Office
Facility Name CHILDREN'S DERMATOLOGY SERVICES
Street 4075 MONROEVILLE BLVD, SUITE 125
City MONROEVILLE
State PA
ZIP 15146
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 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. DOUGLAS W. KRESS

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