15D0961890 CLIA NUMBER - DERMATOLOGY ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 15D0961890
  • Facility Name: DERMATOLOGY ASSOCIATES, PC
  • Facility Address: 931 E 86TH ST STE 104
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 317 257-1484
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SONYA F. JOHNSON
  • NPI Number: 1639483704
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0961890
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES, PC
Street 931 E 86TH ST STE 104
City INDIANAPOLIS
State IN
ZIP 46240
Phone 317 257-1484
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director SONYA F. JOHNSON

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This page was last updated on: 6/4/2025