03D2314823 CLIA NUMBER - ZYNERGY SKIN + MED SPA

Laboratory Demographics

  • CLIA Code: 03D2314823
  • Facility Name: ZYNERGY SKIN + MED SPA
  • Facility Address: 1910 S STAPLEY DR STE 124
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 914-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEVIN GRAY
  • NPI Number: 1306627237
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2314823
LAB Type Physician Office
Facility Name ZYNERGY SKIN + MED SPA
Street 1910 S STAPLEY DR STE 124
City MESA
State AZ
ZIP 85204
Phone 480 914-3376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director DEVIN GRAY

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