CLEVELAND SKIN PATHOLOGY LABORATORY, INC
NPI 1669332987
Pathology - Dermatopathology in Beachwood, OH

Active since November 18, 2025CLIA 36D0656050 · Accreditation
3737 PARK EAST DR STE 202, BEACHWOOD, OH 44122(216) 464-7770(844) 751-9263 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pathology
  • Dermatopathology
  • CLIA Number: 36D0656050
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 12-15-2027

About CLEVELAND SKIN PATHOLOGY LABORATORY, INC

This page provides the complete NPI Profile along with additional information for Cleveland Skin Pathology Laboratory, Inc, a provider established in Beachwood, Ohio operating as a Pathology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1669332987 assigned on November 2025. The practitioner's primary taxonomy code is 207ZD0900X. The provider is registered as an organization and their NPI record was last updated one year ago. Cleveland Skin Pathology Laboratory, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dina Valladares (Sr. Director)

NPI
1669332987 Verify this NPI
Provider Name
CLEVELAND SKIN PATHOLOGY LABORATORY, INC
Entity Type
Organization
Location Address
3737 PARK EAST DR STE 202 BEACHWOOD, OH 44122
Location Phone
(216) 464-7770
Location Fax
(844) 751-9263
Mailing Address
1355 RIVER BEND DR DALLAS, TX 75247
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2025
Last Update Date
11-18-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Dermatopathology

Taxonomy Code
207ZD0900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DINA VALLADARES

Authorized Official Title
SR. DIRECTOR
Authorized Official Phone
(561) 514-5822

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0656050
Facility Type
Independent
Certificate Effective Date
December 16, 2025
Certificate Expiration Date
December 15, 2027
Laboratory Director
DR. TIMOTHY T. CHANG
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Cleveland Skin Pathology Laboratory, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669332987, enumerated as an "organization" on November 18, 2025.

The provider is located at 3737 PARK EAST DR STE 202 BEACHWOOD, OH 44122 and the phone number is (216) 464-7770.

Pathology with taxonomy code 207ZD0900X and a focus in Dermatopathology.