45D1042138 CLIA NUMBER - FERTILITY SPECIALISTS OF DALLAS, PA

Laboratory Demographics

  • CLIA Code: 45D1042138
  • Facility Name: FERTILITY SPECIALISTS OF DALLAS, PA
  • Facility Address: 8160 WALNUT HILL LN SUITE 211
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 618-2044
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JERALD S. GOLDSTEIN
  • NPI Number: 1629184999
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D1042138
LAB Type Physician Office
Facility Name FERTILITY SPECIALISTS OF DALLAS, PA
Street 8160 WALNUT HILL LN SUITE 211
City DALLAS
State TX
ZIP 75231
Phone 214 618-2044
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 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director JERALD S. GOLDSTEIN

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This page was last updated on: 6/4/2025