45D0478676 CLIA NUMBER - J KIRKLAND GRANT, MD, PA

Laboratory Demographics

  • CLIA Code: 45D0478676
  • Facility Name: J KIRKLAND GRANT, MD, PA
  • Facility Address: 929 N GALLOWAY AVE SUITE 104
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 972 686-8200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: J KIRKLAND GRANT
  • NPI Number: 1013069541
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0478676
LAB Type Physician Office
Facility Name J KIRKLAND GRANT, MD, PA
Street 929 N GALLOWAY AVE SUITE 104
City MESQUITE
State TX
ZIP 75149
Phone 972 686-8200
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director J KIRKLAND GRANT

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