45D0480995 CLIA NUMBER - HUGH L MC CLUNG, MD

Laboratory Demographics

CLIA Number: 45D0480995

Facility Name: HUGH L MC CLUNG, MD

Facility Address:
1801 INWOOD ROAD, SEVENTH FLOOR MULTI SPECIALTY CLINIC UTSW
DALLAS, TX
ZIP 75390
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Facility Phone Number: 214 645-7995

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1437265147

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D0480995
LAB Type	Physician Office
Facility Name	HUGH L MC CLUNG, MD
Street	1801 INWOOD ROAD, SEVENTH FLOOR MULTI SPECIALTY CLINIC UTSW
City	DALLAS
State	TX
ZIP	75390
Phone	214 645-7995
CertificateType	3
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024