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02D2097548 CLIA NUMBER - KIMBERLY J WONDERLICH DERMATOLOGY, LLC

Laboratory Demographics

CLIA Number: 02D2097548

Facility Name: KIMBERLY J WONDERLICH DERMATOLOGY, LLC

Facility Address:
2775 COLLEGE RD
FAIRBANKS, AK
ZIP 99709
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Facility Phone Number: 907 456-1979

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1346211505

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 02D2097548
LAB Type Physician Office
Facility Name KIMBERLY J WONDERLICH DERMATOLOGY, LLC
Street 2775 COLLEGE RD
City FAIRBANKS
State AK
ZIP 99709
Phone 907 456-1979
CertificateType 3
CertificateEffectiveDate 6/18/2023
CertificateExpirationDate 6/17/2025
FacilityType PPMP

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