45D2019934 CLIA NUMBER - TRU-SKIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2019934
  • Facility Name: TRU-SKIN DERMATOLOGY
  • Facility Address: 3101 HWY 71 EAST SUITE 203
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 451-0139
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL J. LADD JR
  • NPI Number: 1871029793
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2019934
LAB Type Physician Office
Facility Name TRU-SKIN DERMATOLOGY
Street 3101 HWY 71 EAST SUITE 203
City BASTROP
State TX
ZIP 78602
Phone 512 451-0139
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 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director DANIEL J. LADD JR

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