45D0679929 CLIA NUMBER - FORT WORTH WELLNESS & REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D0679929
  • Facility Name: FORT WORTH WELLNESS & REHABILITATION
  • Facility Address: 2129 SKYLINE DR
    FORT WORTH, TX
    ZIP 76114
  • Facility Phone: 817 626-1956
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SOLOMON GURWITZ
  • NPI Number: 1740813195
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0679929
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FORT WORTH WELLNESS & REHABILITATION
Street 2129 SKYLINE DR
City FORT WORTH
State TX
ZIP 76114
Phone 817 626-1956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SOLOMON GURWITZ

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