03D2137548 CLIA NUMBER - CLEAR SKY DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 03D2137548
  • Facility Name: CLEAR SKY DERMATOLOGY LLC
  • Facility Address: 2620 N 140TH AVE STE 103
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 623 219-4777
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN L. SVANCARA
  • NPI Number: 1306369996
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2137548
LAB Type Physician Office
Facility Name CLEAR SKY DERMATOLOGY LLC
Street 2620 N 140TH AVE STE 103
City GOODYEAR
State AZ
ZIP 85395
Phone 623 219-4777
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 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director KEVIN L. SVANCARA

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This page was last updated on: 6/4/2025