45D0481089 CLIA NUMBER - PAUL DAUM MD

Laboratory Demographics

  • CLIA Code: 45D0481089
  • Facility Name: PAUL DAUM MD
  • Facility Address: 2800 BROAD STREET, SUITE 412
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 972 296-0613
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL W. DAUM MD
  • NPI Number: 1942212576
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0481089
LAB Type Physician Office
Facility Name PAUL DAUM MD
Street 2800 BROAD STREET, SUITE 412
City MANSFIELD
State TX
ZIP 76063
Phone 972 296-0613
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 PAUL W. DAUM MD

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