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10D1081226 CLIA NUMBER - PALM HARBOR DERMATOLOGY

Laboratory Demographics

CLIA Number: 10D1081226

Facility Name: PALM HARBOR DERMATOLOGY

Facility Address:
4197 WOODLANDS PKWY 2ND FL
PALM HARBOR, FL
ZIP 34685
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Facility Phone Number: 727 786-3810

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1497927016

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 10D1081226
LAB Type Physician Office
Facility Name PALM HARBOR DERMATOLOGY
Street 4197 WOODLANDS PKWY 2ND FL
City PALM HARBOR
State FL
ZIP 34685
Phone 727 786-3810
CertificateType 2
CertificateEffectiveDate 8/11/2022
CertificateExpirationDate 8/10/2024
FacilityType Compliance

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