05D1038446 CLIA NUMBER - DERMATOLOGY INSTITUTE & SKIN CARE CENTER INC

Laboratory Demographics

CLIA Number: 05D1038446

Facility Name: DERMATOLOGY INSTITUTE & SKIN CARE CENTER INC

Facility Address:
2001 SANTA MONICA BLVD STE 1160W
SANTA MONICA, CA
ZIP 90404
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Facility Phone Number: 310 829-4104

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1164532339

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 05D1038446
LAB Type Physician Office
Facility Name DERMATOLOGY INSTITUTE & SKIN CARE CENTER INC
Street 2001 SANTA MONICA BLVD STE 1160W
City SANTA MONICA
State CA
ZIP 90404
Phone 310 829-4104
CertificateType 2
CertificateEffectiveDate 10/4/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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