45D1066135 CLIA NUMBER - MANSFIELD DERMATOLOGY DBA UNITED DERMATOLOGY ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 45D1066135
  • Facility Name: MANSFIELD DERMATOLOGY DBA UNITED DERMATOLOGY ASSOCIATES PLLC
  • Facility Address: 130 REGENCY PARKWAY
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 539-0959
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ASHISH ARSHANAPALLI
  • NPI Number: 1366047433
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1066135
LAB Type Physician Office
Facility Name MANSFIELD DERMATOLOGY DBA UNITED DERMATOLOGY ASSOCIATES PLLC
Street 130 REGENCY PARKWAY
City MANSFIELD
State TX
ZIP 76063
Phone 817 539-0959
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director ASHISH ARSHANAPALLI

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