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15D2284343 CLIA NUMBER - RADIANT DERMATOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 15D2284343

Facility Name: RADIANT DERMATOLOGY ASSOCIATES

Facility Address:
722 E TILL RD SUITE 102
FT WAYNE, IN
ZIP 46825
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Facility Phone Number: 260 487-4065

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1720790330

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 15D2284343
LAB Type Physician Office
Facility Name RADIANT DERMATOLOGY ASSOCIATES
Street 722 E TILL RD SUITE 102
City FT WAYNE
State IN
ZIP 46825
Phone 260 487-4065
CertificateType 3
CertificateEffectiveDate 6/21/2023
CertificateExpirationDate 6/20/2025
FacilityType PPMP

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