45D1037157 CLIA NUMBER - DERMATOLOGY SPECIALISTS, PA

Laboratory Demographics

  • CLIA Code: 45D1037157
  • Facility Name: DERMATOLOGY SPECIALISTS, PA
  • Facility Address: 3005 E RENNER ROAD, SUITE 100
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 699-0000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DIANA K. NGUYEN
  • NPI Number: 1992813570
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1037157
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS, PA
Street 3005 E RENNER ROAD, SUITE 100
City RICHARDSON
State TX
ZIP 75082
Phone 972 699-0000
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 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director DIANA K. NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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