03D1037447 CLIA NUMBER - ADVANCED DESERT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D1037447
  • Facility Name: ADVANCED DESERT DERMATOLOGY
  • Facility Address: 9191 W THUNDERBIRD RD, STE D-101
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 977-6700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRANDON J. MACKEY
  • NPI Number: 1003204975
  • Taxonomy: 207NI0002X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D1037447
LAB Type Physician Office
Facility Name ADVANCED DESERT DERMATOLOGY
Street 9191 W THUNDERBIRD RD, STE D-101
City PEORIA
State AZ
ZIP 85381
Phone 623 977-6700
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 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director BRANDON J. MACKEY

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