45D0485752 CLIA NUMBER - TEXAS HEALTH CARE PLLC

Laboratory Demographics

CLIA Number: 45D0485752

Facility Name: TEXAS HEALTH CARE PLLC

Facility Address:
1000 9TH AVENUE SUITE C
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 740-8437

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1356720718

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0485752
LAB Type	Physician Office
Facility Name	TEXAS HEALTH CARE PLLC
Street	1000 9TH AVENUE SUITE C
City	FORT WORTH
State	TX
ZIP	76104
Phone	817 740-8437
CertificateType	3
CertificateEffectiveDate	11/8/2023
CertificateExpirationDate	11/7/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024