45D2034913 CLIA NUMBER - LIBERTY DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 45D2034913
  • Facility Name: LIBERTY DERMATOLOGY PA
  • Facility Address: 7105 LAKEVIEW PKWY STE 100
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 972 475-5300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIEN T. TRAN
  • NPI Number: 1659656759
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2034913
LAB Type Physician Office
Facility Name LIBERTY DERMATOLOGY PA
Street 7105 LAKEVIEW PKWY STE 100
City ROWLETT
State TX
ZIP 75088
Phone 972 475-5300
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 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director KIEN T. TRAN

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