52D0993510 CLIA NUMBER - ADVANCED DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 52D0993510
  • Facility Name: ADVANCED DERMATOLOGY INC
  • Facility Address: 412 18TH AVE
    MONROE, WI
    ZIP 53566
  • Facility Phone: 608 329-5773
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. HARRY H. SHARATA
  • NPI Number: 1740303395
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 52D0993510
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY INC
Street 412 18TH AVE
City MONROE
State WI
ZIP 53566
Phone 608 329-5773
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 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DR. HARRY H. SHARATA

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