45D2143395 CLIA NUMBER - US DERMATOLOGY PARTNERS RICHARDSON

Laboratory Demographics

  • CLIA Code: 45D2143395
  • Facility Name: US DERMATOLOGY PARTNERS RICHARDSON
  • Facility Address: 3600 SHIRE BLVD STE 210
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 469 326-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT MARINARO
  • NPI Number: 1962691998
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2143395
LAB Type Physician Office
Facility Name US DERMATOLOGY PARTNERS RICHARDSON
Street 3600 SHIRE BLVD STE 210
City RICHARDSON
State TX
ZIP 75082
Phone 469 326-3376
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 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director ROBERT MARINARO

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