26D0445040 CLIA NUMBER - ADVANCED DERMATOLOGY & SKIN CANCER CENTER

Laboratory Demographics

CLIA Number: 26D0445040

Facility Name: ADVANCED DERMATOLOGY & SKIN CANCER CENTER

Facility Address:
1419 VILLAGE DRIVE
SAINT JOSEPH, MO
ZIP 64506
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Facility Phone Number: 816 364-1507

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1740358159

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name	Field Value
CLIA Number	26D0445040
LAB Type	Physician Office
Facility Name	ADVANCED DERMATOLOGY & SKIN CANCER CENTER
Street	1419 VILLAGE DRIVE
City	SAINT JOSEPH
State	MO
ZIP	64506
Phone	816 364-1507
CertificateType	2
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Compliance

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