45D0477630 CLIA NUMBER - MICHAEL PAUL GOLDEN MD

Laboratory Demographics

  • CLIA Code: 45D0477630
  • Facility Name: MICHAEL PAUL GOLDEN MD
  • Facility Address: 4100 W 15TH 212
    PLANO, TX
    ZIP 75093
  • Facility Phone: 214 596-4121
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL P. GOLDEN
  • NPI Number: 1265978084
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D0477630
LAB Type Physician Office
Facility Name MICHAEL PAUL GOLDEN MD
Street 4100 W 15TH 212
City PLANO
State TX
ZIP 75093
Phone 214 596-4121
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL P. GOLDEN

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