03D2141563 CLIA NUMBER - HW DERMATOLOGY, PLLC DBA SUNRISE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2141563
  • Facility Name: HW DERMATOLOGY, PLLC DBA SUNRISE DERMATOLOGY
  • Facility Address: 10238 E HAMPTON AVE STE 404
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 771-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LUKE KILLPACK
  • NPI Number: 1750800033
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2141563
LAB Type Physician Office
Facility Name HW DERMATOLOGY, PLLC DBA SUNRISE DERMATOLOGY
Street 10238 E HAMPTON AVE STE 404
City MESA
State AZ
ZIP 85209
Phone 480 771-7546
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 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director LUKE KILLPACK

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