45D0509884 CLIA NUMBER - JORGE A SALDIVAR MD PA

Laboratory Demographics

  • CLIA Code: 45D0509884
  • Facility Name: JORGE A SALDIVAR MD PA
  • Facility Address: 2715 BOLTON BOONE SUITE B
    DESOTO, TX
    ZIP 75115
  • Facility Phone: (214) 780-8009
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JORGE A. SALDIVAR MD
  • NPI Number: 1285632851
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0509884
LAB Type Physician Office
Facility Name JORGE A SALDIVAR MD PA
Street 2715 BOLTON BOONE SUITE B
City DESOTO
State TX
ZIP 75115
Phone 2147808009
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 JORGE A. SALDIVAR MD

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This page was last updated on: 5/18/2026