45D2261384 CLIA NUMBER - CONCIERGE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2261384
  • Facility Name: CONCIERGE DERMATOLOGY
  • Facility Address: 7100 OAKMONT BLVD SUITE 101
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 205-3075
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PETER J. MALOUF
  • NPI Number: 1134615206
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2261384
LAB Type Physician Office
Facility Name CONCIERGE DERMATOLOGY
Street 7100 OAKMONT BLVD SUITE 101
City FORT WORTH
State TX
ZIP 76132
Phone 817 205-3075
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director PETER J. MALOUF

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