45D1055670 CLIA NUMBER - BLAKE FRIEDEN, MD PA

Laboratory Demographics

  • CLIA Code: 45D1055670
  • Facility Name: BLAKE FRIEDEN, MD PA
  • Facility Address: 7777 FOREST LANE, SUITE D-540
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-7488
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BLAKE E. FRIEDEN
  • NPI Number: 1205841798
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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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
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 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director BLAKE E. FRIEDEN

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