45D2067375 CLIA NUMBER - GOH MEDICAL, PA

Laboratory Demographics

  • CLIA Code: 45D2067375
  • Facility Name: GOH MEDICAL, PA
  • Facility Address: 12810 HILLCREST RD SUITE B223
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 292-7158
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT E. CONARD
  • NPI Number: 1619254273
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2067375
LAB Type Physician Office
Facility Name GOH MEDICAL, PA
Street 12810 HILLCREST RD SUITE B223
City DALLAS
State TX
ZIP 75230
Phone 972 292-7158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director SCOTT E. CONARD

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This page was last updated on: 6/4/2025