45D0486490 CLIA NUMBER - BROWN LUPTON HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D0486490
  • Facility Name: BROWN LUPTON HEALTH CENTER
  • Facility Address: 2825 STADIUM DR
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 257-7940
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: JANE E. TORGERSON
  • NPI Number: 1265798672
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0486490
LAB Type School/Student Health Service
Facility Name BROWN LUPTON HEALTH CENTER
Street 2825 STADIUM DR
City FORT WORTH
State TX
ZIP 76109
Phone 817 257-7940
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type School/Student Health Service
Lab Director JANE E. TORGERSON

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