05D0701656 CLIA NUMBER - JOHN A KASCH MD INC

Laboratory Demographics

CLIA Number: 05D0701656

Facility Name: JOHN A KASCH MD INC

Facility Address:
3011 O ST
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 446-5053

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1760485205

Taxonomy: 207NS0135X - Dermatology
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

CLIA Record

Field Name	Field Value
CLIA Number	05D0701656
LAB Type	Physician Office
Facility Name	JOHN A KASCH MD INC
Street	3011 O ST
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 446-5053
CertificateType	2
CertificateEffectiveDate	12/7/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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