45D2196860 CLIA NUMBER - REALSKIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2196860
  • Facility Name: REALSKIN DERMATOLOGY
  • Facility Address: 6612 WOODWAY DR., BUILDING A, SUITE 2
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 265-7100
  • Facility Type: Industrial
  • Facility Type: Certificate of Compliance
  • Lab Director: RUSSELL S. ROWE
  • NPI Number: 1922658897
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2196860
LAB Type Industrial
Facility Name REALSKIN DERMATOLOGY
Street 6612 WOODWAY DR., BUILDING A, SUITE 2
City WACO
State TX
ZIP 76712
Phone 254 265-7100
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 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Industrial
Lab Director RUSSELL S. ROWE

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