45D2274482 CLIA NUMBER - PRECISION DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 45D2274482
  • Facility Name: PRECISION DERMATOLOGY PA
  • Facility Address: 712 HILL COUNTRY DRIVE, STE 100
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 830 890-5181
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW C. LAMBIASE
  • NPI Number: 1740636349
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2274482
LAB Type Physician Office
Facility Name PRECISION DERMATOLOGY PA
Street 712 HILL COUNTRY DRIVE, STE 100
City KERRVILLE
State TX
ZIP 78028
Phone 830 890-5181
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director MATTHEW C. LAMBIASE

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