10D0860084 CLIA NUMBER - MICHAEL J HAIKEN MD PA

Laboratory Demographics

CLIA Number: 10D0860084

Facility Name: MICHAEL J HAIKEN MD PA

Facility Address:
8841 CODY LEE ROAD
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 239 691-3987

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1033148382

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	10D0860084
LAB Type	Physician Office
Facility Name	MICHAEL J HAIKEN MD PA
Street	8841 CODY LEE ROAD
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 691-3987
CertificateType	2
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Compliance

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