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15D2295095 CLIA NUMBER - SKIN DERMATOLOGY, LLC

Laboratory Demographics

CLIA Number: 15D2295095

Facility Name: SKIN DERMATOLOGY, LLC

Facility Address:
1950 45TH STREET, SUITE 200
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 312 320-0328

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1386399749

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 15D2295095
LAB Type Physician Office
Facility Name SKIN DERMATOLOGY, LLC
Street 1950 45TH STREET, SUITE 200
City MUNSTER
State IN
ZIP 46321
Phone 312 320-0328
CertificateType 2
CertificateEffectiveDate 12/5/2023
CertificateExpirationDate 12/4/2025
FacilityType Compliance

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