45D0864507 CLIA NUMBER - MOONHEE LEE MD

Laboratory Demographics

  • CLIA Code: 45D0864507
  • Facility Name: MOONHEE LEE MD
  • Facility Address: 3939 W GREEN OAKS BLVD SUITE 210
    ARLINGTON, TX
    ZIP 76016
  • Facility Phone: 817 457-3939
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOONHEE LEE
  • NPI Number: 1174575831
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 45D0864507
LAB Type Physician Office
Facility Name MOONHEE LEE MD
Street 3939 W GREEN OAKS BLVD SUITE 210
City ARLINGTON
State TX
ZIP 76016
Phone 817 457-3939
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 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director MOONHEE LEE

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