26D2012523 CLIA NUMBER - DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL

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Laboratory Demographics

CLIA Number: 26D2012523

Facility Name: DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL

Facility Address:
110 BUSINESS PARK DR, STE C
BRANSON, MO
ZIP 65616
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Facility Phone Number: 417 336-0033

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1154511004

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	26D2012523
LAB Type	Physician Office
Facility Name	DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER LL
Street	110 BUSINESS PARK DR, STE C
City	BRANSON
State	MO
ZIP	65616
Phone	417 336-0033
CertificateType	2
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Compliance

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