42D2297674 CLIA NUMBER - PROSYNERGY DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 42D2297674
  • Facility Name: PROSYNERGY DERMATOLOGY LLC
  • Facility Address: 440 W MARTINTOWN ROAD
    NORTH AUGUSTA, SC
    ZIP 29841
  • Facility Phone: 706 432-9285
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN M. SQUIRES
  • NPI Number: 1205518875
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2297674
LAB Type Physician Office
Facility Name PROSYNERGY DERMATOLOGY LLC
Street 440 W MARTINTOWN ROAD
City NORTH AUGUSTA
State SC
ZIP 29841
Phone 706 432-9285
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 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director STEPHEN M. SQUIRES

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