45D2011224 CLIA NUMBER - EPIPHANY DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D2011224
  • Facility Name: EPIPHANY DERMATOLOGY, PA
  • Facility Address: 1900 SCENIC DRIVE SUITE 2208
    GEORGETOWN, TX
    ZIP 78626
  • Facility Phone: 512 868-9800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EUGEN STANCUT
  • NPI Number: 1154633303
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2011224
LAB Type Physician Office
Facility Name EPIPHANY DERMATOLOGY, PA
Street 1900 SCENIC DRIVE SUITE 2208
City GEORGETOWN
State TX
ZIP 78626
Phone 512 868-9800
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 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director EUGEN STANCUT

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