45D2307609 CLIA NUMBER - EVOLVE DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 45D2307609
  • Facility Name: EVOLVE DERMATOLOGY PLLC
  • Facility Address: 2000 DALLAS PKWY STE 200
    PLANO, TX
    ZIP 75093
  • Facility Phone: 214 550-4890
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOAN K. FERNANDEZ
  • NPI Number: 1780441931
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2307609
LAB Type Physician Office
Facility Name EVOLVE DERMATOLOGY PLLC
Street 2000 DALLAS PKWY STE 200
City PLANO
State TX
ZIP 75093
Phone 214 550-4890
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 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director JOAN K. FERNANDEZ

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