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45D1055670 CLIA NUMBER - BLAKE FRIEDEN, MD PA

Laboratory Demographics

CLIA Number: 45D1055670

Facility Name: BLAKE FRIEDEN, MD PA

Facility Address:
7777 FOREST LANE, SUITE D-540
DALLAS, TX
ZIP 75230
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Facility Phone Number: 972 566-7488

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1205841798

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 45D1055670
LAB Type Physician Office
Facility Name BLAKE FRIEDEN, MD PA
Street 7777 FOREST LANE, SUITE D-540
City DALLAS
State TX
ZIP 75230
Phone 972 566-7488
CertificateType 3
CertificateEffectiveDate 6/22/2022
CertificateExpirationDate 6/21/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024