45D2168748 CLIA NUMBER - DERMATOLOGY SPECIALISTS OF FORT WORTH, PLLC

Laboratory Demographics

CLIA Number: 45D2168748

Facility Name: DERMATOLOGY SPECIALISTS OF FORT WORTH, PLLC

Facility Address:
6131 SOUTHWEST BLVD SUITE 100
BENBROOK, TX
ZIP 76132
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Facility Phone Number: 817 989-1221

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1417434119

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 45D2168748
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS OF FORT WORTH, PLLC
Street 6131 SOUTHWEST BLVD SUITE 100
City BENBROOK
State TX
ZIP 76132
Phone 817 989-1221
CertificateType 3
CertificateEffectiveDate 7/9/2023
CertificateExpirationDate 7/8/2025
FacilityType PPMP

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