45D2292251 CLIA NUMBER - TIMOTHY F MALONE DO PA

Laboratory Demographics

  • CLIA Code: 45D2292251
  • Facility Name: TIMOTHY F MALONE DO PA
  • Facility Address: 3801 GASTON AVENUE SUITE 230
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 214 823-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY F. MALONE
  • NPI Number: 1649205873
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2292251
LAB Type Physician Office
Facility Name TIMOTHY F MALONE DO PA
Street 3801 GASTON AVENUE SUITE 230
City DALLAS
State TX
ZIP 75246
Phone 214 823-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Physician Office
Lab Director TIMOTHY F. MALONE

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This page was last updated on: 6/4/2025