39D2206653 CLIA NUMBER - CERTIFIED DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 39D2206653
  • Facility Name: CERTIFIED DERMATOLOGY PC
  • Facility Address: 853 SECOND STREET PIKE, SUITE A1
    RICHBORO, PA
    ZIP 18954
  • Facility Phone: 215 485-5713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADAM B. WOLDOW
  • NPI Number: 1932592144
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2206653
LAB Type Physician Office
Facility Name CERTIFIED DERMATOLOGY PC
Street 853 SECOND STREET PIKE, SUITE A1
City RICHBORO
State PA
ZIP 18954
Phone 215 485-5713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director DR. ADAM B. WOLDOW

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