45D1069886 CLIA NUMBER - ANNE WANG-GOMEZ, MD, PA

Laboratory Demographics

CLIA Number: 45D1069886

Facility Name: ANNE WANG-GOMEZ, MD, PA

Facility Address:
7777 FOREST LANE SUITE C500
DALLAS, TX
ZIP 75230
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Facility Phone Number: 972 498-4470

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033302898

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	45D1069886
LAB Type	Physician Office
Facility Name	ANNE WANG-GOMEZ, MD, PA
Street	7777 FOREST LANE SUITE C500
City	DALLAS
State	TX
ZIP	75230
Phone	972 498-4470
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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