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52D2147489 CLIA NUMBER - PETERSON DERMATOLOGY SC

Laboratory Demographics

CLIA Number: 52D2147489

Facility Name: PETERSON DERMATOLOGY SC

Facility Address:
1204 N JOSEPH STREET
DODGEVILLE, WI
ZIP 53533
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Facility Phone Number: 608 574-5044

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1023406493

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 52D2147489
LAB Type Physician Office
Facility Name PETERSON DERMATOLOGY SC
Street 1204 N JOSEPH STREET
City DODGEVILLE
State WI
ZIP 53533
Phone 608 574-5044
CertificateType 4
CertificateEffectiveDate 4/20/2024
CertificateExpirationDate 4/19/2026
FacilityType Waiver

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