03D1089249 CLIA NUMBER - SOUTHWEST SKIN SPECIALISTS, LLC DBA MEDICAL DERMATOLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 03D1089249
  • Facility Name: SOUTHWEST SKIN SPECIALISTS, LLC DBA MEDICAL DERMATOLOGY SPECIALISTS
  • Facility Address: 1331 N 7TH STREET #290
    PHOENIX, AZ
    ZIP 85006
  • Facility Phone: 602 354-5770
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NATHALIE ZEITOUNI
  • NPI Number: 1821666439
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 03D1089249
LAB Type Physician Office
Facility Name SOUTHWEST SKIN SPECIALISTS, LLC DBA MEDICAL DERMATOLOGY SPECIALISTS
Street 1331 N 7TH STREET #290
City PHOENIX
State AZ
ZIP 85006
Phone 602 354-5770
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 1/6/2023
Certificate Expiration Date 3/31/2025
Facility Type Physician Office
Lab Director NATHALIE ZEITOUNI

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This page was last updated on: 3/20/2025