45D0692129 CLIA NUMBER - DAVID W CARLSON MD, PA

Laboratory Demographics

  • CLIA Code: 45D0692129
  • Facility Name: DAVID W CARLSON MD, PA
  • Facility Address: 4402 BROADWAY SUITE 1
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 240-1789
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. CARLSON
  • NPI Number: 1700961406
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0692129
LAB Type Physician Office
Facility Name DAVID W CARLSON MD, PA
Street 4402 BROADWAY SUITE 1
City GARLAND
State TX
ZIP 75043
Phone 972 240-1789
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 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director DAVID W. CARLSON

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