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52D2134666 CLIA NUMBER - NEW DERMATOLOGY GROUP LTD

Laboratory Demographics

CLIA Number: 52D2134666

Facility Name: NEW DERMATOLOGY GROUP LTD

Facility Address:
2360 DUCK CREEK PKWY ROOM 019
GREEN BAY, WI
ZIP 54303
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Facility Phone Number: 920 965-0345

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1235480112

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 52D2134666
LAB Type Physician Office
Facility Name NEW DERMATOLOGY GROUP LTD
Street 2360 DUCK CREEK PKWY ROOM 019
City GREEN BAY
State WI
ZIP 54303
Phone 920 965-0345
CertificateType 2
CertificateEffectiveDate 2/9/2024
CertificateExpirationDate 2/8/2026
FacilityType Compliance

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