42D0672884 CLIA NUMBER - SKIN CANCER CENTRE, PA

Laboratory Demographics

  • CLIA Code: 42D0672884
  • Facility Name: SKIN CANCER CENTRE, PA
  • Facility Address: 1409 NORTH FANT STREET
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 231-8599
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD J. DEANGELIS MD
  • NPI Number: 1376757427
  • Taxonomy: 207ND0101X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0672884
LAB Type Physician Office
Facility Name SKIN CANCER CENTRE, PA
Street 1409 NORTH FANT STREET
City ANDERSON
State SC
ZIP 29621
Phone 864 231-8599
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 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director RICHARD J. DEANGELIS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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