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11D2059065 CLIA NUMBER - SURGICAL & COSMETIC DERMATOLOGY

Laboratory Demographics

CLIA Number: 11D2059065

Facility Name: SURGICAL & COSMETIC DERMATOLOGY

Facility Address:
1615 HIGHWAY 34 EAST, SUITE B
NEWNAN, GA
ZIP 30265
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Facility Phone Number: 770 400-8400

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1396087680

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 11D2059065
LAB Type Physician Office
Facility Name SURGICAL & COSMETIC DERMATOLOGY
Street 1615 HIGHWAY 34 EAST, SUITE B
City NEWNAN
State GA
ZIP 30265
Phone 770 400-8400
CertificateType 2
CertificateEffectiveDate 1/16/2023
CertificateExpirationDate 1/15/2025
FacilityType Compliance

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