52D2088282 CLIA NUMBER - NEW DERMATOLOGY GROUP LTD

Laboratory Demographics

  • CLIA Code: 52D2088282
  • Facility Name: NEW DERMATOLOGY GROUP LTD
  • Facility Address: 2500 E CAPITOL DR, 3RD FLOOR
    APPLETON, WI
    ZIP 54911
  • Facility Phone: (920) 965-0345
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KEVAN G. LEWIS
  • NPI Number: 1013350958
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2088282
LAB Type Physician Office
Facility Name NEW DERMATOLOGY GROUP LTD
Street 2500 E CAPITOL DR, 3RD FLOOR
City APPLETON
State WI
ZIP 54911
Phone 9209650345
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 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director DR. KEVAN G. LEWIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026