39D2223877 CLIA NUMBER - BALADERMATOLOGY

Laboratory Demographics

  • CLIA Code: 39D2223877
  • Facility Name: BALADERMATOLOGY
  • Facility Address: ONE BALA PLAZA, SUITE 620
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: 610 664-3300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARY E. GRIFFIN
  • NPI Number: 1629010236
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2223877
LAB Type Physician Office
Facility Name BALADERMATOLOGY
Street ONE BALA PLAZA, SUITE 620
City BALA CYNWYD
State PA
ZIP 19004
Phone 610 664-3300
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 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director DR. MARY E. GRIFFIN

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