49D2014608 CLIA NUMBER - DERM ONE, PLLC

Laboratory Demographics

  • CLIA Code: 49D2014608
  • Facility Name: DERM ONE, PLLC
  • Facility Address: 725 S COLLEGE AVENUE
    BLUEFIELD, VA
    ZIP 24605
  • Facility Phone: 276 326-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID L. TOLLIVER
  • NPI Number: 1053493288
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2014608
LAB Type Physician Office
Facility Name DERM ONE, PLLC
Street 725 S COLLEGE AVENUE
City BLUEFIELD
State VA
ZIP 24605
Phone 276 326-3376
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 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director DAVID L. TOLLIVER

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