45D2047687 CLIA NUMBER - DAVIS DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D2047687
  • Facility Name: DAVIS DERMATOLOGY, PA
  • Facility Address: 6500 GREENVILLE AVE
    DALLAS, TX
    ZIP 75206
  • Facility Phone: 214 363-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LANCE E. DAVIS
  • NPI Number: 1366797664
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2047687
LAB Type Physician Office
Facility Name DAVIS DERMATOLOGY, PA
Street 6500 GREENVILLE AVE
City DALLAS
State TX
ZIP 75206
Phone 214 363-3376
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director LANCE E. DAVIS

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