05D2100182 CLIA NUMBER - NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP

Laboratory Demographics

CLIA Number: 05D2100182

Facility Name: NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP

Facility Address:
477 N EL CAMINO REAL STE C312
ENCINITAS, CA
ZIP 92024
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Facility Phone Number: 760 230-2805

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700264157

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	05D2100182
LAB Type	Physician Office
Facility Name	NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP
Street	477 N EL CAMINO REAL STE C312
City	ENCINITAS
State	CA
ZIP	92024
Phone	760 230-2805
CertificateType	2
CertificateEffectiveDate	1/22/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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