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05D0688866 CLIA NUMBER - ADVANCED DERMATOLOGY, THOMAS J HOFFMANN, MD SURGICAL & MEDICAL OFFICE INC

Laboratory Demographics

CLIA Number: 05D0688866

Facility Name: ADVANCED DERMATOLOGY, THOMAS J HOFFMANN, MD SURGICAL & MEDICAL OFFICE INC

Facility Address:
18145 U S HWY 18 STE A
APPLE VALLEY, CA
ZIP 92307
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Facility Phone Number: 760 242-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1346662657

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D0688866
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY, THOMAS J HOFFMANN, MD SURGICAL & MEDICAL OFFICE INC
Street 18145 U S HWY 18 STE A
City APPLE VALLEY
State CA
ZIP 92307
Phone 760 242-7546
CertificateType 2
CertificateEffectiveDate 8/29/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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