49D2025069 CLIA NUMBER - ABSOLUTE DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 49D2025069
  • Facility Name: ABSOLUTE DERMATOLOGY PC
  • Facility Address: 1300 WILKES RIDGE DRIVE, SUITE 200
    HENRICO, VA
    ZIP 23233
  • Facility Phone: 804 326-4448
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WILLIAM S. GILLEN
  • NPI Number: 1003440355
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2025069
LAB Type Physician Office
Facility Name ABSOLUTE DERMATOLOGY PC
Street 1300 WILKES RIDGE DRIVE, SUITE 200
City HENRICO
State VA
ZIP 23233
Phone 804 326-4448
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 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director WILLIAM S. GILLEN

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