03D2270002 CLIA NUMBER - FRONTIER SKIN AND CANCER

Laboratory Demographics

  • CLIA Code: 03D2270002
  • Facility Name: FRONTIER SKIN AND CANCER
  • Facility Address: 1951 MESQUITE AVE STE F
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Facility Phone: 702 250-1620
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT LEPOSAVIC
  • NPI Number: 1104562404
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2270002
LAB Type Physician Office
Facility Name FRONTIER SKIN AND CANCER
Street 1951 MESQUITE AVE STE F
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 702 250-1620
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 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director ROBERT LEPOSAVIC

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