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14D2260157 CLIA NUMBER - VITALSKIN MEDICAL GROUP IL, PLLC

Laboratory Demographics

CLIA Number: 14D2260157

Facility Name: VITALSKIN MEDICAL GROUP IL, PLLC

Facility Address:
1111 W KENYON RD SUITE B
URBANA, IL
ZIP 61801
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Facility Phone Number: 217 819-3376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1063030252

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 14D2260157
LAB Type Physician Office
Facility Name VITALSKIN MEDICAL GROUP IL, PLLC
Street 1111 W KENYON RD SUITE B
City URBANA
State IL
ZIP 61801
Phone 217 819-3376
CertificateType 2
CertificateEffectiveDate 3/19/2024
CertificateExpirationDate 3/18/2026
FacilityType Compliance

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