45D1034608 CLIA NUMBER - OB GYN DALLAS, PA

Laboratory Demographics

  • CLIA Code: 45D1034608
  • Facility Name: OB GYN DALLAS, PA
  • Facility Address: 8160 WALNUT HILL LANE, SUITE 219
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 369-2400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TARA A. DULLYE
  • NPI Number: 1083890636
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1034608
LAB Type Physician Office
Facility Name OB GYN DALLAS, PA
Street 8160 WALNUT HILL LANE, SUITE 219
City DALLAS
State TX
ZIP 75231
Phone 214 369-2400
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director TARA A. DULLYE

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