45D0917595 CLIA NUMBER - DENTON DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D0917595
  • Facility Name: DENTON DERMATOLOGY
  • Facility Address: 209 N BONNIE BRAE #205
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 382-1718
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARIF CURRIMBHOY
  • NPI Number: 1588263750
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0917595
LAB Type Physician Office
Facility Name DENTON DERMATOLOGY
Street 209 N BONNIE BRAE #205
City DENTON
State TX
ZIP 76201
Phone 940 382-1718
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 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director SHARIF CURRIMBHOY

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