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18D0706454 CLIA NUMBER - EAST LOUISVILLE DERMATOLOGY PSC

Laboratory Demographics

CLIA Number: 18D0706454

Facility Name: EAST LOUISVILLE DERMATOLOGY PSC

Facility Address:
4912 US HIGHWAY 42 STE 208
LOUISVILLE, KY
ZIP 40222
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Facility Phone Number: 502 426-9565

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1255468872

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 18D0706454
LAB Type Physician Office
Facility Name EAST LOUISVILLE DERMATOLOGY PSC
Street 4912 US HIGHWAY 42 STE 208
City LOUISVILLE
State KY
ZIP 40222
Phone 502 426-9565
CertificateType 3
CertificateEffectiveDate 10/18/2023
CertificateExpirationDate 10/17/2025
FacilityType PPMP

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