45D0480575 CLIA NUMBER - IRWIN S KORNGUT MD

Laboratory Demographics

  • CLIA Code: 45D0480575
  • Facility Name: IRWIN S KORNGUT MD
  • Facility Address: 8220 WALNUT HILL LN SUITE 110
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 735-5507
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IRWIN S. KORNGUT
  • NPI Number: 1669430351
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0480575
LAB Type Physician Office
Facility Name IRWIN S KORNGUT MD
Street 8220 WALNUT HILL LN SUITE 110
City DALLAS
State TX
ZIP 75231
Phone 214 735-5507
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 IRWIN S. KORNGUT

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