45D0978657 CLIA NUMBER - GARY E GOFF MD

Laboratory Demographics

  • CLIA Code: 45D0978657
  • Facility Name: GARY E GOFF MD
  • Facility Address: 8440 WALNUT HILL LANE, SUITE 420
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 879-9966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY E. GOFF
  • NPI Number: 1629050521
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0978657
LAB Type Physician Office
Facility Name GARY E GOFF MD
Street 8440 WALNUT HILL LANE, SUITE 420
City DALLAS
State TX
ZIP 75231
Phone 214 879-9966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director GARY E. GOFF

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