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45D2111811 CLIA NUMBER - RICHARDSON DERMATOLOGY, PLLC

Laboratory Demographics

CLIA Number: 45D2111811

Facility Name: RICHARDSON DERMATOLOGY, PLLC

Facility Address:
7000 BRYANT IRIVN ROAD, SUITE 100
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 882-6338

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1639551781

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name Field Value
CLIA Number 45D2111811
LAB Type Physician Office
Facility Name RICHARDSON DERMATOLOGY, PLLC
Street 7000 BRYANT IRIVN ROAD, SUITE 100
City FORT WORTH
State TX
ZIP 76132
Phone 817 882-6338
CertificateType 2
CertificateEffectiveDate 5/22/2022
CertificateExpirationDate 5/21/2024
FacilityType Compliance

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