03D0912335 CLIA NUMBER - ASSOCIATED DERMATOLOGISTS PC

Laboratory Demographics

  • CLIA Code: 03D0912335
  • Facility Name: ASSOCIATED DERMATOLOGISTS PC
  • Facility Address: 1055 N LA CANADA, STE 125
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 520 290-8555
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SCOTT D. BANGERT
  • NPI Number: 1487842043
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0912335
LAB Type Physician Office
Facility Name ASSOCIATED DERMATOLOGISTS PC
Street 1055 N LA CANADA, STE 125
City GREEN VALLEY
State AZ
ZIP 85614
Phone 520 290-8555
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 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director SCOTT D. BANGERT

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