03D2111126 CLIA NUMBER - CENTER FOR DERMATOLOGY, PLLC

Laboratory Demographics

CLIA Number: 03D2111126

Facility Name: CENTER FOR DERMATOLOGY, PLLC

Facility Address:
3530 S VAL VISTA DR, STE 109
GILBERT, AZ
ZIP 85297
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Facility Phone Number: (480) 905-8485

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1710592357

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	03D2111126
LAB Type	PHYSICIAN OFFICE
Facility Name	CENTER FOR DERMATOLOGY, PLLC
Street	3530 S VAL VISTA DR, STE 109
City	GILBERT
State	AZ
ZIP	85297
Phone	(480) 905-8485

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