42D2083215 CLIA NUMBER - ATLANTIC DERMATOLOGY, INC

Laboratory Demographics

  • CLIA Code: 42D2083215
  • Facility Name: ATLANTIC DERMATOLOGY, INC
  • Facility Address: 2237 HWY 9
    LONGS, SC
    ZIP 29568
  • Facility Phone: 843 399-9965
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH R. WARRICK
  • NPI Number: 1730596685
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 42D2083215
LAB Type Physician Office
Facility Name ATLANTIC DERMATOLOGY, INC
Street 2237 HWY 9
City LONGS
State SC
ZIP 29568
Phone 843 399-9965
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director KENNETH R. WARRICK

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