05D2079164 CLIA NUMBER - ANDREA WILLEY MD PMC

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Laboratory Demographics

CLIA Number: 05D2079164

Facility Name: ANDREA WILLEY MD PMC

Facility Address:
2277 FAIR OAKS BLVD STE 402
SACRAMENTO, CA
ZIP 95825
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Facility Phone Number: 916 922-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1952317455

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name	Field Value
CLIA Number	05D2079164
LAB Type	Physician Office
Facility Name	ANDREA WILLEY MD PMC
Street	2277 FAIR OAKS BLVD STE 402
City	SACRAMENTO
State	CA
ZIP	95825
Phone	916 922-7546
CertificateType	2
CertificateEffectiveDate	2/10/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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