03D2272712 CLIA NUMBER - RICHARD L AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2272712
  • Facility Name: RICHARD L AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
  • Facility Address: 9250 W PALM LANE #115
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 480 556-0446
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JASON A. BARR
  • NPI Number: 1902865959
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2272712
LAB Type Physician Office
Facility Name RICHARD L AVERITTE JR PLLC DBA AFFILIATED DERMATOLOGY
Street 9250 W PALM LANE #115
City PHOENIX
State AZ
ZIP 85037
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 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director JASON A. BARR

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