34D1094366 CLIA NUMBER - WESTGATE DERMATOLOGY AND LASER CENTER, PA

Laboratory Demographics

CLIA Number: 34D1094366

Facility Name: WESTGATE DERMATOLOGY AND LASER CENTER, PA

Facility Address:
2020 PEACE HAVEN ROAD
WINSTON SALEM, NC
ZIP 27106
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Facility Phone Number: (336) 768-1280

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1821240995

Taxonomy: 207ND0900X - Dermatology
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

CLIA Record

Field Name	Field Value
CLIA Number	34D1094366
LAB Type	PHYSICIAN OFFICE
Facility Name	WESTGATE DERMATOLOGY AND LASER CENTER, PA
Street	2020 PEACE HAVEN ROAD
City	WINSTON SALEM
State	NC
ZIP	27106
Phone	(336) 768-1280

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This page was last updated on: 5/11/2023