45D2188128 CLIA NUMBER - MI HYE SONG, MD

Laboratory Demographics

  • CLIA Code: 45D2188128
  • Facility Name: MI HYE SONG, MD
  • Facility Address: 1428 W HEBRON PKWY SUITE 120
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 972 215-7855
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MI HYE SONG
  • NPI Number: 1821485434
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2188128
LAB Type Physician Office
Facility Name MI HYE SONG, MD
Street 1428 W HEBRON PKWY SUITE 120
City CARROLLTON
State TX
ZIP 75010
Phone 972 215-7855
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 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director MI HYE SONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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