45D1059327 CLIA NUMBER - PARK CITIES DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D1059327
  • Facility Name: PARK CITIES DERMATOLOGY, PA
  • Facility Address: 4420 W LOVERS LN
    DALLAS, TX
    ZIP 75209
  • Facility Phone: 214 373-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELLEN O. TURNER
  • NPI Number: 1477073807
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D1059327
LAB Type Physician Office
Facility Name PARK CITIES DERMATOLOGY, PA
Street 4420 W LOVERS LN
City DALLAS
State TX
ZIP 75209
Phone 214 373-7546
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 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director ELLEN O. TURNER

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