03D2054440 CLIA NUMBER - CENTER FOR DERMATOLOGY, PLLC

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Laboratory Demographics

CLIA Number: 03D2054440

Facility Name: CENTER FOR DERMATOLOGY, PLLC

Facility Address:
10440 E RIGGS RD, STE 160
CHANDLER, AZ
ZIP 85248
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Facility Phone Number: 480 905-8485

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1174062673

Taxonomy: 363AM0700X - Physician Assistant

CLIA Record

Field Name	Field Value
CLIA Number	03D2054440
LAB Type	Physician Office
Facility Name	CENTER FOR DERMATOLOGY, PLLC
Street	10440 E RIGGS RD, STE 160
City	CHANDLER
State	AZ
ZIP	85248
Phone	480 905-8485
CertificateType	2
CertificateEffectiveDate	2/27/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024