45D2287062 CLIA NUMBER - TEAM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2287062
  • Facility Name: TEAM DERMATOLOGY
  • Facility Address: 1435 HWY 6, SUITE 250
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 832 308-3470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAREK M. FAKHOURI
  • NPI Number: 1992342653
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2287062
LAB Type Physician Office
Facility Name TEAM DERMATOLOGY
Street 1435 HWY 6, SUITE 250
City SUGAR LAND
State TX
ZIP 77478
Phone 832 308-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director TAREK M. FAKHOURI

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