45D2054717 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF DENISON PLLC

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Laboratory Demographics

CLIA Number: 45D2054717

Facility Name: DERMATOLOGY ASSOCIATES OF DENISON PLLC

Facility Address:
5130 POOL ROAD SUITE 200
DENISON, TX
ZIP 75020
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Facility Phone Number: 903 463-2223

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1699111476

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	45D2054717
LAB Type	Physician Office
Facility Name	DERMATOLOGY ASSOCIATES OF DENISON PLLC
Street	5130 POOL ROAD SUITE 200
City	DENISON
State	TX
ZIP	75020
Phone	903 463-2223
CertificateType	2
CertificateEffectiveDate	5/6/2023
CertificateExpirationDate	5/5/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024