45D0486182 CLIA NUMBER - QUEST DIAGNOSTICS FORT WORTH RRL

Laboratory Demographics

  • CLIA Code: 45D0486182
  • Facility Name: QUEST DIAGNOSTICS FORT WORTH RRL
  • Facility Address: 1250 8TH AVE SUITE 115
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 923-2510
  • Facility Type: Other - RAPID RESPONSE LAB
  • Facility Type: Certificate of Compliance
  • Lab Director: IRENE I. SHU
  • NPI Number: 1245258870
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D0486182
LAB Type Other - RAPID RESPONSE LAB
Facility Name QUEST DIAGNOSTICS FORT WORTH RRL
Street 1250 8TH AVE SUITE 115
City FORT WORTH
State TX
ZIP 76104
Phone 817 923-2510
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - RAPID RESPONSE LAB
Lab Director IRENE I. SHU

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