42D0682447 CLIA NUMBER - TRIDENT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 42D0682447
  • Facility Name: TRIDENT DERMATOLOGY
  • Facility Address: 9295 MEDICAL PLAZA DRIVE, SUITE A
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: (843) 797-3960
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN C. MAIZE JR
  • NPI Number: 1366404659
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 42D0682447
LAB Type Physician Office
Facility Name TRIDENT DERMATOLOGY
Street 9295 MEDICAL PLAZA DRIVE, SUITE A
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 8437973960
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 3/16/2026
Certificate Expiration Date 3/15/2028
Facility Type Physician Office
Lab Director DR. JOHN C. MAIZE JR

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This page was last updated on: 5/18/2026