29D0979705 CLIA NUMBER - ADVANCED COSMETIC SURGERY & DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 29D0979705
  • Facility Name: ADVANCED COSMETIC SURGERY & DERMATOLOGY CENTER
  • Facility Address: 925 IRONWOOD DR STE 1108
    MINDEN, NV
    ZIP 89423
  • Facility Phone: 775 588-5000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARTIN E. SALM MD
  • NPI Number: 1780856559
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 29D0979705
LAB Type Physician Office
Facility Name ADVANCED COSMETIC SURGERY & DERMATOLOGY CENTER
Street 925 IRONWOOD DR STE 1108
City MINDEN
State NV
ZIP 89423
Phone 775 588-5000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director MARTIN E. SALM MD

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This page was last updated on: 9/29/2025