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52D1045440 CLIA NUMBER - SHORELINE SKIN CORPORATION

Laboratory Demographics

CLIA Number: 52D1045440

Facility Name: SHORELINE SKIN CORPORATION

Facility Address:
3427 SUPERIOR AVE
SHEBOYGAN, WI
ZIP 53081
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Facility Phone Number: 920 457-3376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1730193152

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 52D1045440
LAB Type Physician Office
Facility Name SHORELINE SKIN CORPORATION
Street 3427 SUPERIOR AVE
City SHEBOYGAN
State WI
ZIP 53081
Phone 920 457-3376
CertificateType 2
CertificateEffectiveDate 2/23/2024
CertificateExpirationDate 2/22/2026
FacilityType Compliance

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