45D2215862 CLIA NUMBER - AFFINITY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2215862
  • Facility Name: AFFINITY DERMATOLOGY
  • Facility Address: 13136 DALLAS PKWY SUITE 520
    FRISCO, TX
    ZIP 75033
  • Facility Phone: 469 480-8100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DORNECHIA G. CARTER
  • NPI Number: 1205461019
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2215862
LAB Type Physician Office
Facility Name AFFINITY DERMATOLOGY
Street 13136 DALLAS PKWY SUITE 520
City FRISCO
State TX
ZIP 75033
Phone 469 480-8100
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 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DORNECHIA G. CARTER

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