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36D2268436 CLIA NUMBER - DERMATOLOGY & AESTHETIC CARE

Laboratory Demographics

CLIA Number: 36D2268436

Facility Name: DERMATOLOGY & AESTHETIC CARE

Facility Address:
1299 E ALEX BELL RD
CENTERVILLE, OH
ZIP 45459
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Facility Phone Number: 937 436-1117

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962795302

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 36D2268436
LAB Type Physician Office
Facility Name DERMATOLOGY & AESTHETIC CARE
Street 1299 E ALEX BELL RD
City CENTERVILLE
State OH
ZIP 45459
Phone 937 436-1117
CertificateType 4
CertificateEffectiveDate 9/12/2022
CertificateExpirationDate 9/11/2024
FacilityType Waiver

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