03D0528263 CLIA NUMBER - PARADISE VALLEY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D0528263
  • Facility Name: PARADISE VALLEY DERMATOLOGY
  • Facility Address: 3811 E BEEL RD STE 309
    PHOENIX, AZ
    ZIP 85032
  • Facility Phone: 602 971-0950
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK BLAIR
  • NPI Number: 1962684530
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0528263
LAB Type Independent
Facility Name PARADISE VALLEY DERMATOLOGY
Street 3811 E BEEL RD STE 309
City PHOENIX
State AZ
ZIP 85032
Phone 602 971-0950
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Independent
Lab Director MARK BLAIR

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This page was last updated on: 9/29/2025