03D2018247 CLIA NUMBER - GRAND CANYON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2018247
  • Facility Name: GRAND CANYON DERMATOLOGY
  • Facility Address: 1150 NORTH COUNTRY CLUB DR, STE 6
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 962-1050
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HOWARD J. DONSKY
  • NPI Number: 1982849691
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2018247
LAB Type Physician Office
Facility Name GRAND CANYON DERMATOLOGY
Street 1150 NORTH COUNTRY CLUB DR, STE 6
City MESA
State AZ
ZIP 85201
Phone 480 962-1050
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 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director HOWARD J. DONSKY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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