03D2111120 CLIA NUMBER - Center For Dermatology, Pc

Laboratory Demographics

CLIA Number: 03D2111120

Facility Name: Center For Dermatology, Pc

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: 1174062673

Taxonomy: 363AM0700X - Physician Assistant

CLIA Record

Field Name Field Value
CLIA Number 03D2111120
LAB Type PHYSICIAN OFFICE
Facility Name Center For Dermatology, Pc
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: 4/7/2021