45D1086758 CLIA NUMBER - ALLAN N SHULKIN, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1086758
  • Facility Name: ALLAN N SHULKIN, MD, PA
  • Facility Address: 7777 FOREST LANE, B-202
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLAN N. SHULKIN
  • NPI Number: 1881888188
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1086758
LAB Type Physician Office
Facility Name ALLAN N SHULKIN, MD, PA
Street 7777 FOREST LANE, B-202
City DALLAS
State TX
ZIP 75230
Phone 972 566-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director ALLAN N. SHULKIN

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