01D1103538 CLIA NUMBER - SKIN WELLNESS DERMATOLOGY

Laboratory Demographics

CLIA Number: 01D1103538

Facility Name: SKIN WELLNESS DERMATOLOGY

Facility Address:
3415 INDEPENDENCE DRIVE SUITE 200
HOMEWOOD, AL
ZIP 35209
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Facility Phone Number: 205 871-7332

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265663926

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 01D1103538
LAB Type Physician Office
Facility Name SKIN WELLNESS DERMATOLOGY
Street 3415 INDEPENDENCE DRIVE SUITE 200
City HOMEWOOD
State AL
ZIP 35209
Phone 205 871-7332
CertificateType 4
CertificateEffectiveDate 6/18/2022
CertificateExpirationDate 6/17/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024