45D0484798 CLIA NUMBER - CATALYST PHYSICIAN GROUP NTX, PLLC GREEN OAKS

Laboratory Demographics

  • CLIA Code: 45D0484798
  • Facility Name: CATALYST PHYSICIAN GROUP NTX, PLLC GREEN OAKS
  • Facility Address: 1926 SW GREEN OAKS BOULEVARD
    ARLINGTON, TX
    ZIP 76017
  • Facility Phone: 817 472-5522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN PETTWAY
  • NPI Number: 1811677610
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0484798
LAB Type Physician Office
Facility Name CATALYST PHYSICIAN GROUP NTX, PLLC GREEN OAKS
Street 1926 SW GREEN OAKS BOULEVARD
City ARLINGTON
State TX
ZIP 76017
Phone 817 472-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director JOHN PETTWAY

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