03D2325854 CLIA NUMBER - DESERT OASIS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 03D2325854
  • Facility Name: DESERT OASIS DERMATOLOGY
  • Facility Address: 21300 N JOHN WAYNE PKWY STE 108
    MARICOPA, AZ
    ZIP 85139
  • Facility Phone: 480 418-3314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN LAVIAN
  • NPI Number: 1780489526
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2325854
LAB Type Physician Office
Facility Name DESERT OASIS DERMATOLOGY
Street 21300 N JOHN WAYNE PKWY STE 108
City MARICOPA
State AZ
ZIP 85139
Phone 480 418-3314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director JONATHAN LAVIAN

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