45D2143641 CLIA NUMBER - K DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2143641
  • Facility Name: K DERMATOLOGY
  • Facility Address: 399 W CAMPBELL RD STE 410
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 469-3376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGIE KORIAKOS
  • NPI Number: 1386195204
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2143641
LAB Type Physician Office
Facility Name K DERMATOLOGY
Street 399 W CAMPBELL RD STE 410
City RICHARDSON
State TX
ZIP 75080
Phone 972 469-3376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director ANGIE KORIAKOS

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