03D2324912 CLIA NUMBER - LA PAZ DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2324912
  • Facility Name: LA PAZ DERMATOLOGY
  • Facility Address: 3050 E QUEEN CREEK RD STE 101
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 602 799-0976
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RYAN J. JACKSON
  • NPI Number: 1013734094
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2324912
LAB Type Physician Office
Facility Name LA PAZ DERMATOLOGY
Street 3050 E QUEEN CREEK RD STE 101
City GILBERT
State AZ
ZIP 85297
Phone 602 799-0976
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 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director RYAN J. JACKSON

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