45D0485660 CLIA NUMBER - TRINITY TERRACE

Laboratory Demographics

  • CLIA Code: 45D0485660
  • Facility Name: TRINITY TERRACE
  • Facility Address: 1600 TEXAS STREET
    FORT WORTH, TX
    ZIP 76102
  • Facility Phone: 817 338-2400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER AGUIRRE
  • NPI Number: 1619977246
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0485660
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRINITY TERRACE
Street 1600 TEXAS STREET
City FORT WORTH
State TX
ZIP 76102
Phone 817 338-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER AGUIRRE

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