45D0873837 CLIA NUMBER - METHODIST DALLAS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 45D0873837

Facility Name: METHODIST DALLAS MEDICAL CENTER

Facility Address:
1441 N BECKLEY AVENUE- PATHOLOGY -2ND FLOOR
DALLAS, TX
ZIP 75203
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Facility Phone Number: 214 947-6716

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1003868241

Taxonomy: 204F00000X - Transplant Surgery
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D0873837
LAB Type	Community Clinic
Facility Name	METHODIST DALLAS MEDICAL CENTER
Street	1441 N BECKLEY AVENUE- PATHOLOGY -2ND FLOOR
City	DALLAS
State	TX
ZIP	75203
Phone	214 947-6716
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024