03D2291260 CLIA NUMBER - SUMMITMD DERMATOLOGY SUN CITY WEST

Laboratory Demographics

CLIA Number: 03D2291260

Facility Name: SUMMITMD DERMATOLOGY SUN CITY WEST

Facility Address:
13940 W MEEKER BLVD STE 135
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: 623 248-4425

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1205584273

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D2291260
LAB Type	Physician Office
Facility Name	SUMMITMD DERMATOLOGY SUN CITY WEST
Street	13940 W MEEKER BLVD STE 135
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	623 248-4425
CertificateType	2
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024