45D2252734 CLIA NUMBER - LOCKHART MATTER DERMATOLGOY

Laboratory Demographics

  • CLIA Code: 45D2252734
  • Facility Name: LOCKHART MATTER DERMATOLGOY
  • Facility Address: 1030 S COIT RD
    PROSPER, TX
    ZIP 75078
  • Facility Phone: 469 769-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTIE MATTER
  • NPI Number: 1114682846
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2252734
LAB Type Physician Office
Facility Name LOCKHART MATTER DERMATOLGOY
Street 1030 S COIT RD
City PROSPER
State TX
ZIP 75078
Phone 469 769-3376
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 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director CHRISTIE MATTER

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