45D0856993 CLIA NUMBER - ESTATES HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0856993
  • Facility Name: ESTATES HEALTHCARE CENTER
  • Facility Address: 201 SYCAMORE SCHOOL ROAD
    FORT WORTH, TX
    ZIP 76134
  • Facility Phone: 817 293-7610
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTI M. BLACKWELL
  • NPI Number: 1053511998
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0856993
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ESTATES HEALTHCARE CENTER
Street 201 SYCAMORE SCHOOL ROAD
City FORT WORTH
State TX
ZIP 76134
Phone 817 293-7610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KRISTI M. BLACKWELL

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