44D2171640 CLIA NUMBER - DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC

Laboratory Demographics

  • CLIA Code: 44D2171640
  • Facility Name: DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
  • Facility Address: 96 PHYSICIANS DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 784-4300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAFNIS C. CARRANZA
  • NPI Number: 1750590923
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2171640
LAB Type Physician Office
Facility Name DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
Street 96 PHYSICIANS DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 784-4300
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 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director DR. DAFNIS C. CARRANZA

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