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14D2142114 CLIA NUMBER - OAK DERMATOLOGY

Laboratory Demographics

CLIA Number: 14D2142114

Facility Name: OAK DERMATOLOGY

Facility Address:
550 E DEVON AVE - STE 200
ITASCA, IL
ZIP 60143
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Facility Phone Number: 864 625-3376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1487168258

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 14D2142114
LAB Type Physician Office
Facility Name OAK DERMATOLOGY
Street 550 E DEVON AVE - STE 200
City ITASCA
State IL
ZIP 60143
Phone 864 625-3376
CertificateType 2
CertificateEffectiveDate 6/8/2022
CertificateExpirationDate 6/7/2024
FacilityType Compliance

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