03D1097352 CLIA NUMBER - RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D1097352
  • Facility Name: RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
  • Facility Address: 19646 N 27TH AVE, STE 305
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 480 556-0446
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JASON A. BARR
  • NPI Number: 1407804115
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D1097352
LAB Type Physician Office
Facility Name RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
Street 19646 N 27TH AVE, STE 305
City PHOENIX
State AZ
ZIP 85027
Phone 480 556-0446
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 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director JASON A. BARR

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