03D0676299 CLIA NUMBER - ADVANCED DERMATOLOGY OF ARIZONA

Laboratory Demographics

CLIA Number: 03D0676299

Facility Name: ADVANCED DERMATOLOGY OF ARIZONA

Facility Address:
3302 N MILLER RD, STE D
SCOTTSDALE, AZ
ZIP 85251
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Facility Phone Number: 480 945-6356

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316445687

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	03D0676299
LAB Type	Physician Office
Facility Name	ADVANCED DERMATOLOGY OF ARIZONA
Street	3302 N MILLER RD, STE D
City	SCOTTSDALE
State	AZ
ZIP	85251
Phone	480 945-6356
CertificateType	4
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Waiver

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