45D0665449 CLIA NUMBER - NORTHLAKE OBSTETRICS & GYNECOLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D0665449
  • Facility Name: NORTHLAKE OBSTETRICS & GYNECOLOGY, PA
  • Facility Address: 7777 FOREST LANE C 234
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-7711
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEAN MCCLINTOCK
  • NPI Number: 1366555351
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0665449
LAB Type Physician Office
Facility Name NORTHLAKE OBSTETRICS & GYNECOLOGY, PA
Street 7777 FOREST LANE C 234
City DALLAS
State TX
ZIP 75230
Phone 972 566-7711
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 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director JEAN MCCLINTOCK

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