03D0949522 CLIA NUMBER - SOUTHWEST SKIN SPECIALISTS, LLC

Laboratory Demographics

CLIA Number: 03D0949522

Facility Name: SOUTHWEST SKIN SPECIALISTS, LLC

Facility Address:
6127 N LA CHOLLA BLVD #101
TUCSON, AZ
ZIP 85741
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Facility Phone Number: 502 661-5800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1346636578

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	03D0949522
LAB Type	Physician Office
Facility Name	SOUTHWEST SKIN SPECIALISTS, LLC
Street	6127 N LA CHOLLA BLVD #101
City	TUCSON
State	AZ
ZIP	85741
Phone	502 661-5800
CertificateType	3
CertificateEffectiveDate	9/3/2022
CertificateExpirationDate	9/2/2024
FacilityType	PPMP

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