03D2111120 CLIA NUMBER - CENTER FOR DERMATOLOGY, PLLC

Laboratory Demographics

CLIA Number: 03D2111120

Facility Name: CENTER FOR DERMATOLOGY, PLLC

Facility Address:
6316 W UNION HILLS DR STE 200
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: (480) 905-8485

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1023585742

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	03D2111120
LAB Type	PHYSICIAN OFFICE
Facility Name	CENTER FOR DERMATOLOGY, PLLC
Street	6316 W UNION HILLS DR STE 200
City	GLENDALE
State	AZ
ZIP	85308
Phone	(480) 905-8485

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