45D2149335 CLIA NUMBER - MINDFUL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2149335
  • Facility Name: MINDFUL DERMATOLOGY
  • Facility Address: 9201 N CENTRAL EXPY STE 210
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 265-1818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER C. CATHER
  • NPI Number: 1487169736
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2149335
LAB Type Physician Office
Facility Name MINDFUL DERMATOLOGY
Street 9201 N CENTRAL EXPY STE 210
City DALLAS
State TX
ZIP 75231
Phone 214 265-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JENNIFER C. CATHER

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