45D0486888 CLIA NUMBER - FORT WORTH WOMENS CLINIC

Laboratory Demographics

CLIA Number: 45D0486888

Facility Name: FORT WORTH WOMENS CLINIC

Facility Address:
6100 HARRIS PKWY SUITE 200
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 346-5252

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225405384

Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

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
CertificateType	3
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	PPMP

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