42D0873004 CLIA NUMBER - AUCC, AIKEN DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 42D0873004
  • Facility Name: AUCC, AIKEN DERMATOLOGY, LLC
  • Facility Address: 118 PARK AVE SW SUITE 100
    AIKEN, SC
    ZIP 29801
  • Facility Phone: 803 641-0049
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KATHERINE POTTER
  • NPI Number: 1932741857
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0873004
LAB Type Physician Office
Facility Name AUCC, AIKEN DERMATOLOGY, LLC
Street 118 PARK AVE SW SUITE 100
City AIKEN
State SC
ZIP 29801
Phone 803 641-0049
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 12/9/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director KATHERINE POTTER

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