03D0530945 CLIA NUMBER - ALL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D0530945
  • Facility Name: ALL DERMATOLOGY
  • Facility Address: 6320-A W UNION HILLS DR STE 210
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 376-7600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES F. PEHOUSHEK, MD
  • NPI Number: 1578727947
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D0530945
LAB Type Physician Office
Facility Name ALL DERMATOLOGY
Street 6320-A W UNION HILLS DR STE 210
City GLENDALE
State AZ
ZIP 85308
Phone 623 376-7600
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JAMES F. PEHOUSHEK, MD

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