44D2269975 CLIA NUMBER - GERMANTOWN DERMATOLOGY, PLC

Laboratory Demographics

  • CLIA Code: 44D2269975
  • Facility Name: GERMANTOWN DERMATOLOGY, PLC
  • Facility Address: 8000 WOLF RIVER BLVD, SUITE 100
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 579-7395
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH PIETRANGELO
  • NPI Number: 1932831740
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 44D2269975
LAB Type Physician Office
Facility Name GERMANTOWN DERMATOLOGY, PLC
Street 8000 WOLF RIVER BLVD, SUITE 100
City GERMANTOWN
State TN
ZIP 38138
Phone 901 579-7395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director JOSEPH PIETRANGELO

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