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01D2115412 CLIA NUMBER - SHADES VALLEY DERMATOLOGY LLC

Laboratory Demographics

CLIA Number: 01D2115412

Facility Name: SHADES VALLEY DERMATOLOGY LLC

Facility Address:
813 SHADES CREEK PKWY STE 205
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: 205 578-1799

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1831548668

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 01D2115412
LAB Type Physician Office
Facility Name SHADES VALLEY DERMATOLOGY LLC
Street 813 SHADES CREEK PKWY STE 205
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 578-1799
CertificateType 3
CertificateEffectiveDate 7/7/2022
CertificateExpirationDate 7/6/2024
FacilityType PPMP

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