45D2163594 CLIA NUMBER - DERMATOLOGY & SKIN CANCER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2163594
  • Facility Name: DERMATOLOGY & SKIN CANCER SURGERY CENTER
  • Facility Address: 141 RVG PARKWAY SUITE 100
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 390-9002
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ERIN E. ROBERTS
  • NPI Number: 1699763490
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2163594
LAB Type Physician Office
Facility Name DERMATOLOGY & SKIN CANCER SURGERY CENTER
Street 141 RVG PARKWAY SUITE 100
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 390-9002
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director ERIN E. ROBERTS

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