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03D1000791 CLIA NUMBER - RICHARD L AVERITTE, JR PLLC DBA AFFILIATED DERMATOLOGY

Laboratory Demographics

CLIA Number: 03D1000791

Facility Name: RICHARD L AVERITTE, JR PLLC DBA AFFILIATED DERMATOLOGY

Facility Address:
20401 N 73RD ST SUITE 230
SCOTTSDALE, AZ
ZIP 85255
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Facility Phone Number: 480 556-0446

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1902865959

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 03D1000791
LAB Type Physician Office
Facility Name RICHARD L AVERITTE, JR PLLC DBA AFFILIATED DERMATOLOGY
Street 20401 N 73RD ST SUITE 230
City SCOTTSDALE
State AZ
ZIP 85255
Phone 480 556-0446
CertificateType 2
CertificateEffectiveDate 1/12/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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