03D2118138 CLIA NUMBER - RICHARD L AVERITTE JR, PLLC DBA AFFILIATED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2118138
  • Facility Name: RICHARD L AVERITTE JR, PLLC DBA AFFILIATED DERMATOLOGY
  • Facility Address: 1459 S HIGLEY RD STE 106
    GILBERT, AZ
    ZIP 85296
  • Facility Phone: 480 556-0446
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINE C. LIN
  • NPI Number: 1972591105
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2118138
LAB Type Physician Office
Facility Name RICHARD L AVERITTE JR, PLLC DBA AFFILIATED DERMATOLOGY
Street 1459 S HIGLEY RD STE 106
City GILBERT
State AZ
ZIP 85296
Phone 480 556-0446
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director CHRISTINE C. LIN

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This page was last updated on: 9/29/2025