03D2126797 CLIA NUMBER - SKIN & CANCER CENTER OF ARIZONA PC

Laboratory Demographics

CLIA Number: 03D2126797

Facility Name: SKIN & CANCER CENTER OF ARIZONA PC

Facility Address:
21321 E OCOTILLO RD STE 124
QUEEN CREEK, AZ
ZIP 85142
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Facility Phone Number: 480 899-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

CLIA Record

Field Name	Field Value
CLIA Number	03D2126797
LAB Type	Physician Office
Facility Name	SKIN & CANCER CENTER OF ARIZONA PC
Street	21321 E OCOTILLO RD STE 124
City	QUEEN CREEK
State	AZ
ZIP	85142
Phone	480 899-7546
CertificateType	2
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024