45D1039466 CLIA NUMBER - GREGG L SMALL MD PA

Laboratory Demographics

  • CLIA Code: 45D1039466
  • Facility Name: GREGG L SMALL MD PA
  • Facility Address: 9301 N CENTRAL EXPRESSWAY,SUITE 590
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 265-6001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGG L. SMALL MD
  • NPI Number: 1356384358
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1039466
LAB Type Physician Office
Facility Name GREGG L SMALL MD PA
Street 9301 N CENTRAL EXPRESSWAY,SUITE 590
City DALLAS
State TX
ZIP 75231
Phone 214 265-6001
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 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director GREGG L. SMALL MD

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