03D2179563 CLIA NUMBER - OASIS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2179563
  • Facility Name: OASIS DERMATOLOGY
  • Facility Address: 1055 N LA CANADA DRIVE, STE 131
    GREEN VALLEY, AZ
    ZIP 85614
  • Facility Phone: 520 589-2039
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SANDRA A. DUPONT
  • NPI Number: 1780229625
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2179563
LAB Type Physician Office
Facility Name OASIS DERMATOLOGY
Street 1055 N LA CANADA DRIVE, STE 131
City GREEN VALLEY
State AZ
ZIP 85614
Phone 520 589-2039
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director SANDRA A. DUPONT

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