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01D2265021 CLIA NUMBER - TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER

Laboratory Demographics

CLIA Number: 01D2265021

Facility Name: TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER

Facility Address:
4913 DEERFOOT PKWY
TRUSSVILLE, AL
ZIP 35173
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Facility Phone Number: 205 933-0987

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1831296888

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 01D2265021
LAB Type Physician Office
Facility Name TOTAL SKIN AND BEAUTY DERMATOLOGY CENTER
Street 4913 DEERFOOT PKWY
City TRUSSVILLE
State AL
ZIP 35173
Phone 205 933-0987
CertificateType 3
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType PPMP

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