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18D0677174 CLIA NUMBER - ADVANCED DERMATOLOGY & DERMAESTHETICS OF LOUISVILLE

Laboratory Demographics

CLIA Number: 18D0677174

Facility Name: ADVANCED DERMATOLOGY & DERMAESTHETICS OF LOUISVILLE

Facility Address:
310 EAST BROADWAY SUITE 200
LOUISVILLE, KY
ZIP 40202
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Facility Phone Number: 502 585-1263

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1235245754

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 18D0677174
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY & DERMAESTHETICS OF LOUISVILLE
Street 310 EAST BROADWAY SUITE 200
City LOUISVILLE
State KY
ZIP 40202
Phone 502 585-1263
CertificateType 2
CertificateEffectiveDate 8/11/2022
CertificateExpirationDate 8/10/2024
FacilityType Compliance

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