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44D2021259 CLIA NUMBER - SKIN CANCER AND COSMETIC DERMATOLOGY CENTER

Laboratory Demographics

CLIA Number: 44D2021259

Facility Name: SKIN CANCER AND COSMETIC DERMATOLOGY CENTER

Facility Address:
400 DIXIE LEE CENTER RD, STE C
KIMBALL, TN
ZIP 37347
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Facility Phone Number: 423 702-4429

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1063715423

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 44D2021259
LAB Type Physician Office
Facility Name SKIN CANCER AND COSMETIC DERMATOLOGY CENTER
Street 400 DIXIE LEE CENTER RD, STE C
City KIMBALL
State TN
ZIP 37347
Phone 423 702-4429
CertificateType 3
CertificateEffectiveDate 3/9/2023
CertificateExpirationDate 3/8/2025
FacilityType PPMP

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