39D2271595 CLIA NUMBER - BUCKS DERMAESTHETICS

Laboratory Demographics

  • CLIA Code: 39D2271595
  • Facility Name: BUCKS DERMAESTHETICS
  • Facility Address: 1717 NEWTOWN LANGHORNE RD, SUITE 201
    LANGHORNE, PA
    ZIP 19047
  • Facility Phone: 215 987-5665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. IVY DEROSA
  • NPI Number: 1457332314
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 39D2271595
LAB Type Physician Office
Facility Name BUCKS DERMAESTHETICS
Street 1717 NEWTOWN LANGHORNE RD, SUITE 201
City LANGHORNE
State PA
ZIP 19047
Phone 215 987-5665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. IVY DEROSA

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