CLIA lab
CLIA 03D2301498: Dermatology and Skin Care By Shelly
Chino Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2301498 belongs to Dermatology and Skin Care By Shelly in Chino Valley, AZ.
Certificate of Waiver, effective March 26, 2026, expires March 25, 2028.
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 Waiver
- Certificate effective
- March 26, 2026
- Certificate expiration
- March 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 26, 2024
- 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
- 03D2301498
- Lab name
- Dermatology and Skin Care By Shelly
- Address
- 448 AZ-89 Ste H, Chino Valley, AZ 86323
- Phone
- (928) 499-2915
- Fax
- (877) 406-3180
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Northern Arizona PharmacyCertificate of Waiver, Pharmacy03D2209291
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Related
Questions
What is the CLIA number for Dermatology and Skin Care By Shelly in Chino Valley?
03D2301498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology and Skin Care By Shelly hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2301498 expire?
The CMS file lists March 25, 2028 as the certificate expiration date; the certificate took effect March 26, 2026.