49D2014609 CLIA NUMBER - DERM ONE, PLLC

Laboratory Demographics

  • CLIA Code: 49D2014609
  • Facility Name: DERM ONE, PLLC
  • Facility Address: 150 PEPPERS FERRY ROAD
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 326-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID L. TOLLIVER
  • NPI Number: 1255677555
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2014609
LAB Type Physician Office
Facility Name DERM ONE, PLLC
Street 150 PEPPERS FERRY ROAD
City WYTHEVILLE
State VA
ZIP 24382
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 6/10/2023
Certificate Expiration Date 6/9/2025
Facility Type Physician Office
Lab Director DAVID L. TOLLIVER

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This page was last updated on: 3/20/2025