45D2009142 CLIA NUMBER - BASIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2009142
  • Facility Name: BASIN DERMATOLOGY
  • Facility Address: 4214 ANDREWS HWY SUITE # 110
    MIDLAND, TX
    ZIP 79703
  • Facility Phone: 432 689-2491
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. CAGLIA
  • NPI Number: 1063003754
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2009142
LAB Type Physician Office
Facility Name BASIN DERMATOLOGY
Street 4214 ANDREWS HWY SUITE # 110
City MIDLAND
State TX
ZIP 79703
Phone 432 689-2491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director MICHAEL T. CAGLIA

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