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45D2125150 CLIA NUMBER - MAMAD BAGHERI MD PA

Laboratory Demographics

CLIA Number: 45D2125150

Facility Name: MAMAD BAGHERI MD PA

Facility Address:
4327 BARNETT ROAD
WICHITA FALLS, TX
ZIP 76310
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Facility Phone Number: 940 687-3376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1073055257

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name Field Value
CLIA Number 45D2125150
LAB Type Physician Office
Facility Name MAMAD BAGHERI MD PA
Street 4327 BARNETT ROAD
City WICHITA FALLS
State TX
ZIP 76310
Phone 940 687-3376
CertificateType 2
CertificateEffectiveDate 6/13/2023
CertificateExpirationDate 6/12/2025
FacilityType Compliance

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