45D2290934 CLIA NUMBER - SKYLINE DERMATOLOGY HUTTO

Laboratory Demographics

  • CLIA Code: 45D2290934
  • Facility Name: SKYLINE DERMATOLOGY HUTTO
  • Facility Address: 120 CHRIS KELLEY BLVD SUITE 100
    HUTTO, TX
    ZIP 78634
  • Facility Phone: 737 231-1855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNY ZHAO
  • NPI Number: 1659132389
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2290934
LAB Type Physician Office
Facility Name SKYLINE DERMATOLOGY HUTTO
Street 120 CHRIS KELLEY BLVD SUITE 100
City HUTTO
State TX
ZIP 78634
Phone 737 231-1855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Physician Office
Lab Director JOHNNY ZHAO

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