45D2023046 CLIA NUMBER - PATHOLOGIST BIO-MEDICAL LABORATORIES, PLLC

Laboratory Demographics

  • CLIA Code: 45D2023046
  • Facility Name: PATHOLOGIST BIO-MEDICAL LABORATORIES, PLLC
  • Facility Address: 3600 GASTON AVE, WADLEY TOWER, SUITE 261
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 214 818-9100
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: PETER A. DYSERT
  • NPI Number: 1407451750
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2023046
LAB Type Independent
Facility Name PATHOLOGIST BIO-MEDICAL LABORATORIES, PLLC
Street 3600 GASTON AVE, WADLEY TOWER, SUITE 261
City DALLAS
State TX
ZIP 75246
Phone 214 818-9100
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 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Independent
Lab Director PETER A. DYSERT

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