45D0712532 CLIA NUMBER - JAIME J VASQUEZ DO

Laboratory Demographics

  • CLIA Code: 45D0712532
  • Facility Name: JAIME J VASQUEZ DO
  • Facility Address: 2929 WELBORN STREET
    DALLAS, TX
    ZIP 75219
  • Facility Phone: 214 528-1083
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAIME J. VASQUEZ DO
  • NPI Number: 1861440943
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0712532
LAB Type Physician Office
Facility Name JAIME J VASQUEZ DO
Street 2929 WELBORN STREET
City DALLAS
State TX
ZIP 75219
Phone 214 528-1083
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JAIME J. VASQUEZ DO

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