03D2092106 CLIA NUMBER - CENTER FOR DERMATOLOGY, PLLC

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Laboratory Demographics

CLIA Number: 03D2092106

Facility Name: CENTER FOR DERMATOLOGY, PLLC

Facility Address:
11209 TATUM BLVD, STE 175
PHOENIX, AZ
ZIP 85028
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Facility Phone Number: (480) 905-4845

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1730242389

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D2092106
LAB Type	PHYSICIAN OFFICE
Facility Name	CENTER FOR DERMATOLOGY, PLLC
Street	11209 TATUM BLVD, STE 175
City	PHOENIX
State	AZ
ZIP	85028
Phone	(480) 905-4845

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This page was last updated on: 5/11/2023