45D2179434 CLIA NUMBER - MD PROGRESSIVE CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2179434
  • Facility Name: MD PROGRESSIVE CARE, PLLC
  • Facility Address: 3500 OAK LAWN AVE SUITE 700
    DALLAS, TX
    ZIP 75219
  • Facility Phone: 214 521-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC A. TRIBBLE
  • NPI Number: 1992347546
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2179434
LAB Type Physician Office
Facility Name MD PROGRESSIVE CARE, PLLC
Street 3500 OAK LAWN AVE SUITE 700
City DALLAS
State TX
ZIP 75219
Phone 214 521-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director MARC A. TRIBBLE

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