45D2167884 CLIA NUMBER - FLORA KIM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2167884
  • Facility Name: FLORA KIM DERMATOLOGY
  • Facility Address: 4300 MACARTHUR AVE SUITE 100
    DALLAS, TX
    ZIP 75209
  • Facility Phone: 214 521-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FLORA KIM
  • NPI Number: 1710465380
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2167884
LAB Type Physician Office
Facility Name FLORA KIM DERMATOLOGY
Street 4300 MACARTHUR AVE SUITE 100
City DALLAS
State TX
ZIP 75209
Phone 214 521-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director FLORA KIM

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