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01D2089501 CLIA NUMBER - SIA DERMATOLOGY/MOHS LAB

Laboratory Demographics

CLIA Number: 01D2089501

Facility Name: SIA DERMATOLOGY/MOHS LAB

Facility Address:
1733 WEST MAIN STREET, SUITE 500
DOTHAN, AL
ZIP 36301
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Facility Phone Number: 334 699-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1386044543

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name Field Value
CLIA Number 01D2089501
LAB Type Physician Office
Facility Name SIA DERMATOLOGY/MOHS LAB
Street 1733 WEST MAIN STREET, SUITE 500
City DOTHAN
State AL
ZIP 36301
Phone 334 699-7546
CertificateType 2
CertificateEffectiveDate 5/14/2023
CertificateExpirationDate 5/13/2025
FacilityType Compliance

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