45D0873116 CLIA NUMBER - JOSEPH P PETERMAN MD PA

Laboratory Demographics

  • CLIA Code: 45D0873116
  • Facility Name: JOSEPH P PETERMAN MD PA
  • Facility Address: 8222 DOUGALS AVE # 500
    DALLAS, TX
    ZIP 75225
  • Facility Phone: (214) 987-0777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH P. PETERMAN
  • NPI Number: 1023015757
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0873116
LAB Type Physician Office
Facility Name JOSEPH P PETERMAN MD PA
Street 8222 DOUGALS AVE # 500
City DALLAS
State TX
ZIP 75225
Phone 2149870777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2026
Certificate Expiration Date 3/7/2028
Facility Type Physician Office
Lab Director JOSEPH P. PETERMAN

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This page was last updated on: 5/18/2026