45D0682157 CLIA NUMBER - UTMB DERMATOPATHOLOGY LAB

Laboratory Demographics

  • CLIA Code: 45D0682157
  • Facility Name: UTMB DERMATOPATHOLOGY LAB
  • Facility Address: 301 UNIVERSITY BOULEVARD 4 136 MCCULLOUGH BUILDING, 4TH FLOOR
    GALVESTON, TX
    ZIP 77555
  • Facility Phone: 409 772-1911
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BRANDON P. GOODWIN
  • NPI Number: 1295281350
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0682157
LAB Type Hospital
Facility Name UTMB DERMATOPATHOLOGY LAB
Street 301 UNIVERSITY BOULEVARD 4 136 MCCULLOUGH BUILDING, 4TH FLOOR
City GALVESTON
State TX
ZIP 77555
Phone 409 772-1911
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Hospital
Lab Director DR. BRANDON P. GOODWIN

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