45D2213842 CLIA NUMBER - MARK RAY MD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2213842
  • Facility Name: MARK RAY MD DERMATOLOGY
  • Facility Address: 2601 LITTLE ELM PKWY SUITE 101
    LITTLE ELM, TX
    ZIP 75068
  • Facility Phone: 972 988-9945
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK K. RAY
  • NPI Number: 1619560844
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2213842
LAB Type Physician Office
Facility Name MARK RAY MD DERMATOLOGY
Street 2601 LITTLE ELM PKWY SUITE 101
City LITTLE ELM
State TX
ZIP 75068
Phone 972 988-9945
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 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director MARK K. RAY

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