45D2015671 CLIA NUMBER - SKIN MD, PA

Laboratory Demographics

  • CLIA Code: 45D2015671
  • Facility Name: SKIN MD, PA
  • Facility Address: 804 NE MALL BLVD
    HURST, TX
    ZIP 76053
  • Facility Phone: 817 595-4500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: YANG XIA
  • NPI Number: 1215259452
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2015671
LAB Type Physician Office
Facility Name SKIN MD, PA
Street 804 NE MALL BLVD
City HURST
State TX
ZIP 76053
Phone 817 595-4500
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 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director YANG XIA

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This page was last updated on: 6/4/2025