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11D2092870 CLIA NUMBER - DALTON DERMATOLOGY

Laboratory Demographics

CLIA Number: 11D2092870

Facility Name: DALTON DERMATOLOGY

Facility Address:
1108 PROFESSIONAL BLVD
DALTON, GA
ZIP 30720
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Facility Phone Number: 000 706-2667

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033557160

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 11D2092870
LAB Type Physician Office
Facility Name DALTON DERMATOLOGY
Street 1108 PROFESSIONAL BLVD
City DALTON
State GA
ZIP 30720
Phone 000 706-2667
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

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