45D2155497 CLIA NUMBER - METHODIST CHARLTON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2155497
  • Facility Name: METHODIST CHARLTON MEDICAL CENTER
  • Facility Address: 3500 W WHEATLAND RD LABOR & DELIVERY
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 214 947-7199
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS J. PEREZ
  • NPI Number: 1912957200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2155497
LAB Type Ancillary Testing Site in Health Care Center
Facility Name METHODIST CHARLTON MEDICAL CENTER
Street 3500 W WHEATLAND RD LABOR & DELIVERY
City DALLAS
State TX
ZIP 75237
Phone 214 947-7199
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NICHOLAS J. PEREZ

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