45D2109673 CLIA NUMBER - THE DERMATOLOGY SPOT

Laboratory Demographics

  • CLIA Code: 45D2109673
  • Facility Name: THE DERMATOLOGY SPOT
  • Facility Address: 1841 MARTIN DRIVE, SUITE 200
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 609-4414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELAINE K. MILLER
  • NPI Number: 1689049413
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2109673
LAB Type Physician Office
Facility Name THE DERMATOLOGY SPOT
Street 1841 MARTIN DRIVE, SUITE 200
City WEATHERFORD
State TX
ZIP 76086
Phone 817 609-4414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director ELAINE K. MILLER

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