45D0724811 CLIA NUMBER - HURST FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 45D0724811
  • Facility Name: HURST FAMILY MEDICAL
  • Facility Address: 1709 PRECINCT LINE RD
    HURST, TX
    ZIP 76054
  • Facility Phone: 817 281-0402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTY A. BAZE
  • NPI Number: 1770913592
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0724811
LAB Type Physician Office
Facility Name HURST FAMILY MEDICAL
Street 1709 PRECINCT LINE RD
City HURST
State TX
ZIP 76054
Phone 817 281-0402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director CHRISTY A. BAZE

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