CLIA lab
CLIA 03D2011524: Mackenzie Dermatology
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2011524 belongs to Mackenzie Dermatology in Prescott, AZ.
Certificate of Compliance, effective October 29, 2025, expires October 28, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- October 29, 2025
- Certificate expiration
- October 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D2011524
- Lab name
- Mackenzie Dermatology
- Address
- 3190 Clearwater Dr, Prescott, AZ 86305
- Phone
- (928) 541-1312
- Fax
- (928) 541-0002
Annual test volume the lab reported
- Other nonwaived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Mackenzie Dermatology in Prescott?
03D2011524, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mackenzie Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 03D2011524 expire?
The CMS file lists October 28, 2027 as the certificate expiration date; the certificate took effect October 29, 2025.