06D2146275 CLIA NUMBER - SAMANTHA GHISELLI MD PLLC DBA PUR EDERMATOLOGY PLLC

Laboratory Demographics

CLIA Number: 06D2146275

Facility Name: SAMANTHA GHISELLI MD PLLC DBA PUR EDERMATOLOGY PLLC

Facility Address:
501 S CHERRY ST, STE 310
GLENDALE, CO
ZIP 80246
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Facility Phone Number: 303 333-7873

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1407363971

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 06D2146275
LAB Type Physician Office
Facility Name SAMANTHA GHISELLI MD PLLC DBA PUR EDERMATOLOGY PLLC
Street 501 S CHERRY ST, STE 310
City GLENDALE
State CO
ZIP 80246
Phone 303 333-7873
CertificateType 2
CertificateEffectiveDate 2/1/2023
CertificateExpirationDate 1/31/2025
FacilityType Compliance

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