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05D1031587 CLIA NUMBER - GOLDEN STATE DERMATOLOGY ASSOCIATES, INC FAIR OAKS

Laboratory Demographics

CLIA Number: 05D1031587

Facility Name: GOLDEN STATE DERMATOLOGY ASSOCIATES, INC FAIR OAKS

Facility Address:
2625 FAIR OAKS BLVD STE 1
SACRAMENTO, CA
ZIP 95864
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Facility Phone Number: 916 646-3376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1871561589

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 05D1031587
LAB Type Physician Office
Facility Name GOLDEN STATE DERMATOLOGY ASSOCIATES, INC FAIR OAKS
Street 2625 FAIR OAKS BLVD STE 1
City SACRAMENTO
State CA
ZIP 95864
Phone 916 646-3376
CertificateType 2
CertificateEffectiveDate 1/17/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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