03D2168294 CLIA NUMBER - RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2168294
  • Facility Name: RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
  • Facility Address: 2127 E BASELINE RD STE 104
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 556-0446
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINE C. LIN
  • NPI Number: 1609291848
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2168294
LAB Type Physician Office
Facility Name RICHARD LEE AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
Street 2127 E BASELINE RD STE 104
City TEMPE
State AZ
ZIP 85283
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 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director CHRISTINE C. LIN

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