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23D2123083 CLIA NUMBER - ADVANCED DERMATOLOGY OF MICHIGAN

Laboratory Demographics

CLIA Number: 23D2123083

Facility Name: ADVANCED DERMATOLOGY OF MICHIGAN

Facility Address:
999 6TH ST
TRAVERSE CITY, MI
ZIP 49684
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Facility Phone Number: 407 284-3407

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1013342112

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 23D2123083
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF MICHIGAN
Street 999 6TH ST
City TRAVERSE CITY
State MI
ZIP 49684
Phone 407 284-3407
CertificateType 1
CertificateEffectiveDate 9/21/2023
CertificateExpirationDate 9/20/2025
FacilityType Accreditation

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