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46D2033975 CLIA NUMBER - SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS

Laboratory Demographics

CLIA Number: 46D2033975

Facility Name: SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS

Facility Address:
732 N MAIN STREET
SPRINGVILLE, UT
ZIP 84663
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Facility Phone Number: 801 704-7001

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1992144364

Taxonomy: 207ND0900X - Dermatology
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

CLIA Record

Field Name Field Value
CLIA Number 46D2033975
LAB Type Physician Office
Facility Name SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS
Street 732 N MAIN STREET
City SPRINGVILLE
State UT
ZIP 84663
Phone 801 704-7001
CertificateType 2
CertificateEffectiveDate 7/9/2022
CertificateExpirationDate 7/8/2024
FacilityType Compliance

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