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25D0318981 CLIA NUMBER - DERMATOLOGY - WEST

Laboratory Demographics

CLIA Number: 25D0318981

Facility Name: DERMATOLOGY - WEST

Facility Address:
104 ASBURY CIRCLE
HATTIESBURG, MS
ZIP 39402
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Facility Phone Number: 601 268-5252

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1851488118

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 25D0318981
LAB Type Physician Office
Facility Name DERMATOLOGY - WEST
Street 104 ASBURY CIRCLE
City HATTIESBURG
State MS
ZIP 39402
Phone 601 268-5252
CertificateType 3
CertificateEffectiveDate 5/16/2024
CertificateExpirationDate 5/15/2026
FacilityType PPMP

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