45D2111811 CLIA NUMBER - RICHARDSON DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 45D2111811
  • Facility Name: RICHARDSON DERMATOLOGY, PLLC
  • Facility Address: 7000 BRYANT IRIVN ROAD, SUITE 100
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 882-6338
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEVEN J. RICHARDSON
  • NPI Number: 1639551781
  • Taxonomy: 207ND0101X - Dermatology

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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
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director STEVEN J. RICHARDSON

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