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10D2150227 CLIA NUMBER - SKIN DERMATOLOGY AND COSMETIC SERVICES PA

Laboratory Demographics

CLIA Number: 10D2150227

Facility Name: SKIN DERMATOLOGY AND COSMETIC SERVICES PA

Facility Address:
84 PINNACLES DR BLD B STE 400
PALM COAST, FL
ZIP 32164
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Facility Phone Number: 386 256-4969

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1003582123

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 10D2150227
LAB Type Physician Office
Facility Name SKIN DERMATOLOGY AND COSMETIC SERVICES PA
Street 84 PINNACLES DR BLD B STE 400
City PALM COAST
State FL
ZIP 32164
Phone 386 256-4969
CertificateType 2
CertificateEffectiveDate 12/7/2022
CertificateExpirationDate 12/6/2024
FacilityType Compliance

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