36D2184379 CLIA NUMBER - PARKER SKIN & AESTHETIC CLINIC, INC

Laboratory Demographics

CLIA Number: 36D2184379

Facility Name: PARKER SKIN & AESTHETIC CLINIC, INC

Facility Address:
2001 CROCKER ROAD SUITE 150
WESTLAKE, OH
ZIP 44145
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Facility Phone Number: 216 464-7333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609894575

Taxonomy: 207NS0135X - Dermatology
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

CLIA Record

Field Name	Field Value
CLIA Number	36D2184379
LAB Type	Physician Office
Facility Name	PARKER SKIN & AESTHETIC CLINIC, INC
Street	2001 CROCKER ROAD SUITE 150
City	WESTLAKE
State	OH
ZIP	44145
Phone	216 464-7333
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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