03D2111128 CLIA NUMBER - CENTER FOR DERMATOLOGY, PLLC

Laboratory Demographics

CLIA Number: 03D2111128

Facility Name: CENTER FOR DERMATOLOGY, PLLC

Facility Address:
1890 E FLORENCE BLVD, STE 4
CASA GRANDE, AZ
ZIP 85122
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Facility Phone Number: (480) 905-8485

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1063758779

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2111128
LAB Type	PHYSICIAN OFFICE
Facility Name	CENTER FOR DERMATOLOGY, PLLC
Street	1890 E FLORENCE BLVD, STE 4
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	(480) 905-8485

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