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03D2270002 CLIA NUMBER - FRONTIER SKIN AND CANCER

Laboratory Demographics

CLIA Number: 03D2270002

Facility Name: FRONTIER SKIN AND CANCER

Facility Address:
1951 MESQUITE AVE STE F
LAKE HAVASU CITY, AZ
ZIP 86403
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Facility Phone Number: 702 250-1620

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1104562404

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 03D2270002
LAB Type Physician Office
Facility Name FRONTIER SKIN AND CANCER
Street 1951 MESQUITE AVE STE F
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 702 250-1620
CertificateType 2
CertificateEffectiveDate 10/6/2022
CertificateExpirationDate 10/5/2024
FacilityType Compliance

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