45D0485794 CLIA NUMBER - JAIME H CASTRO MD

Laboratory Demographics

  • CLIA Code: 45D0485794
  • Facility Name: JAIME H CASTRO MD
  • Facility Address: 1650 W ROSEDALE SUITE 306
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 334-0137
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIME H. CASTRO
  • NPI Number: 1932159951
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0485794
LAB Type Physician Office
Facility Name JAIME H CASTRO MD
Street 1650 W ROSEDALE SUITE 306
City FORT WORTH
State TX
ZIP 76104
Phone 817 334-0137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director JAIME H. CASTRO

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