45D2146570 CLIA NUMBER - TRU-SKIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2146570
  • Facility Name: TRU-SKIN DERMATOLOGY
  • Facility Address: 701 E WHITESTONE BLVD STE 150
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 451-0139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL J. LADD
  • NPI Number: 1326238296
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2146570
LAB Type Physician Office
Facility Name TRU-SKIN DERMATOLOGY
Street 701 E WHITESTONE BLVD STE 150
City CEDAR PARK
State TX
ZIP 78613
Phone 512 451-0139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director DANIEL J. LADD

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