03D0529113 CLIA NUMBER - ALTA DERMATOLOGY GROUP, LTD DBA ALTA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D0529113
  • Facility Name: ALTA DERMATOLOGY GROUP, LTD DBA ALTA DERMATOLOGY
  • Facility Address: 130 S 63RD ST, BLDG 3, STE 114
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 981-2888
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN E. KESSLER II
  • NPI Number: 1780801506
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D0529113
LAB Type Physician Office
Facility Name ALTA DERMATOLOGY GROUP, LTD DBA ALTA DERMATOLOGY
Street 130 S 63RD ST, BLDG 3, STE 114
City MESA
State AZ
ZIP 85206
Phone 480 981-2888
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 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director STEPHEN E. KESSLER II

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