45D2263084 CLIA NUMBER - DANIELA DILLMAN, NP, PLLC

Laboratory Demographics

  • CLIA Code: 45D2263084
  • Facility Name: DANIELA DILLMAN, NP, PLLC
  • Facility Address: 4214 GATEWAY DR SUITE 100
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 354-7999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN FAIRLESS
  • NPI Number: 1376280578
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2263084
LAB Type Physician Office
Facility Name DANIELA DILLMAN, NP, PLLC
Street 4214 GATEWAY DR SUITE 100
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 354-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director JUSTIN FAIRLESS

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