45D2026953 CLIA NUMBER - INNOVATIVE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2026953
  • Facility Name: INNOVATIVE DERMATOLOGY
  • Facility Address: 5655 W SPRING CREEK PKWY SUITE 105
    PLANO, TX
    ZIP 75024
  • Facility Phone: 214 919-3500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SEEMAL R. DESAI
  • NPI Number: 1417238999
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2026953
LAB Type Physician Office
Facility Name INNOVATIVE DERMATOLOGY
Street 5655 W SPRING CREEK PKWY SUITE 105
City PLANO
State TX
ZIP 75024
Phone 214 919-3500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director SEEMAL R. DESAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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