45D2117415 CLIA NUMBER - DERMATOLOGY & SKIN CANCER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2117415
  • Facility Name: DERMATOLOGY & SKIN CANCER SURGERY CENTER
  • Facility Address: 763 EAST US HWY 80
    FORNEY, TX
    ZIP 75126
  • Facility Phone: 972 390-9002
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEATHER D. FROEHLICH
  • NPI Number: 1538436241
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2117415
LAB Type Physician Office
Facility Name DERMATOLOGY & SKIN CANCER SURGERY CENTER
Street 763 EAST US HWY 80
City FORNEY
State TX
ZIP 75126
Phone 972 390-9002
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director HEATHER D. FROEHLICH

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