45D2252480 CLIA NUMBER - SKIN JOY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2252480
  • Facility Name: SKIN JOY DERMATOLOGY
  • Facility Address: 9015 MOUTAIN RIDGE RD #200
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 512 312-7552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUBUSAYO OBAYAN
  • NPI Number: 1972000321
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2252480
LAB Type Physician Office
Facility Name SKIN JOY DERMATOLOGY
Street 9015 MOUTAIN RIDGE RD #200
City AUSTIN
State TX
ZIP 78759
Phone 512 312-7552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director OLUBUSAYO OBAYAN

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