45D0680408 CLIA NUMBER - JPS HEALTH CENTER FOR WOMEN

Laboratory Demographics

  • CLIA Code: 45D0680408
  • Facility Name: JPS HEALTH CENTER FOR WOMEN
  • Facility Address: 1201 SOUTH MAIN STREET
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 702-3509
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STEPHANIE R. CARSON-HENDERSON
  • NPI Number: 1457509242
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0680408
LAB Type Community Clinic
Facility Name JPS HEALTH CENTER FOR WOMEN
Street 1201 SOUTH MAIN STREET
City FORT WORTH
State TX
ZIP 76104
Phone 817 702-3509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Community Clinic
Lab Director STEPHANIE R. CARSON-HENDERSON

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