16D2054679 CLIA NUMBER - RADIANT COMPLEXIONS DERMATOLOGY CLINIC

Laboratory Demographics

CLIA Number: 16D2054679

Facility Name: RADIANT COMPLEXIONS DERMATOLOGY CLINIC

Facility Address:
1510 SW ORALABOR ROAD, SUITE C
ANKENY, IA
ZIP 50023
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Facility Phone Number: 515 964-3467

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639541410

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 16D2054679
LAB Type Physician Office
Facility Name RADIANT COMPLEXIONS DERMATOLOGY CLINIC
Street 1510 SW ORALABOR ROAD, SUITE C
City ANKENY
State IA
ZIP 50023
Phone 515 964-3467
CertificateType 3
CertificateEffectiveDate 2/26/2023
CertificateExpirationDate 2/25/2025
FacilityType PPMP

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