45D0486888 CLIA NUMBER - FORT WORTH WOMENS CLINIC

Laboratory Demographics

  • CLIA Code: 45D0486888
  • Facility Name: FORT WORTH WOMENS CLINIC
  • Facility Address: 6100 HARRIS PKWY SUITE 200
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 346-5252
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONNA C. KOLAR
  • NPI Number: 1225405384
  • Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0486888
LAB Type Physician Office
Facility Name FORT WORTH WOMENS CLINIC
Street 6100 HARRIS PKWY SUITE 200
City FORT WORTH
State TX
ZIP 76132
Phone 817 346-5252
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 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director DONNA C. KOLAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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