42D1059597 CLIA NUMBER - ADVANCED DERMATOLOGY OF SOUTH CAROLINA

Laboratory Demographics

  • CLIA Code: 42D1059597
  • Facility Name: ADVANCED DERMATOLOGY OF SOUTH CAROLINA
  • Facility Address: 1700 FIRST BAXTER CROSSING STE 101
    FORT MILL, SC
    ZIP 29708
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: REBECCA L. SMITH
  • NPI Number: 1588731962
  • Taxonomy: 111NN0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D1059597
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF SOUTH CAROLINA
Street 1700 FIRST BAXTER CROSSING STE 101
City FORT MILL
State SC
ZIP 29708
Phone 407 284-3407
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 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director REBECCA L. SMITH

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