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03D0955419 CLIA NUMBER - SOUTHWEST SKIN SPECIALISTS

Laboratory Demographics

CLIA Number: 03D0955419

Facility Name: SOUTHWEST SKIN SPECIALISTS

Facility Address:
11130 N TATUM BLVD #I-100
PHOENIX, AZ
ZIP 85028
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Facility Phone Number: 602 494-1817

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1609185347

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 03D0955419
LAB Type Physician Office
Facility Name SOUTHWEST SKIN SPECIALISTS
Street 11130 N TATUM BLVD #I-100
City PHOENIX
State AZ
ZIP 85028
Phone 602 494-1817
CertificateType 2
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Compliance

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