03D2028877 CLIA NUMBER - CENTER FOR DERMATOLOGY & PLASTIC SURGERY FOUNTAIN HILLS

Laboratory Demographics

  • CLIA Code: 03D2028877
  • Facility Name: CENTER FOR DERMATOLOGY & PLASTIC SURGERY FOUNTAIN HILLS
  • Facility Address: 16838 E PALISADES BLVD STE B124
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Facility Phone: 480 905-8485
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEFFREY M. KRASE
  • NPI Number: 1174062673
  • Taxonomy: 363AM0700X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2028877
LAB Type Physician Office
Facility Name CENTER FOR DERMATOLOGY & PLASTIC SURGERY FOUNTAIN HILLS
Street 16838 E PALISADES BLVD STE B124
City FOUNTAIN HILLS
State AZ
ZIP 85268
Phone 480 905-8485
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director JEFFREY M. KRASE

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