03D1056672 CLIA NUMBER - SKYLINE MEDICINE

Laboratory Demographics

  • CLIA Code: 03D1056672
  • Facility Name: SKYLINE MEDICINE
  • Facility Address: 6112 E BROWN RD
    MESA, AZ
    ZIP 85205
  • Facility Phone: 480 924-4422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. THOMAS
  • NPI Number: 1356523492
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1056672
LAB Type Physician Office
Facility Name SKYLINE MEDICINE
Street 6112 E BROWN RD
City MESA
State AZ
ZIP 85205
Phone 480 924-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director STEPHEN L. THOMAS

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