10D2162124 CLIA NUMBER - PREMIER DERMATOLOGY MD LLC

Laboratory Demographics

CLIA Number: 10D2162124

Facility Name: PREMIER DERMATOLOGY MD LLC

Facility Address:
20803 BISCAYNE BLVD SUITE 305
AVENTURA, FL
ZIP 33180
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Facility Phone Number: 305 521-8971

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1578955811

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 10D2162124
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY MD LLC
Street 20803 BISCAYNE BLVD SUITE 305
City AVENTURA
State FL
ZIP 33180
Phone 305 521-8971
CertificateType 2
CertificateEffectiveDate 7/8/2023
CertificateExpirationDate 7/7/2025
FacilityType Compliance

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