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05D0586887 CLIA NUMBER - SAN LUIS DERMATOLOGY & LASER CLINIC, INC

Laboratory Demographics

CLIA Number: 05D0586887

Facility Name: SAN LUIS DERMATOLOGY & LASER CLINIC, INC

Facility Address:
15 SANTA ROSA ST
SAN LUIS OBISPO, CA
ZIP 93405
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Facility Phone Number: 805 541-2650

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1568431500

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 05D0586887
LAB Type Physician Office
Facility Name SAN LUIS DERMATOLOGY & LASER CLINIC, INC
Street 15 SANTA ROSA ST
City SAN LUIS OBISPO
State CA
ZIP 93405
Phone 805 541-2650
CertificateType 2
CertificateEffectiveDate 8/2/2020
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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