45D0878146 CLIA NUMBER - JOHN G YOUNG MD

Laboratory Demographics

  • CLIA Code: 45D0878146
  • Facility Name: JOHN G YOUNG MD
  • Facility Address: 7633 BELLAIRE DRIVE S, STE 113
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 361-7494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN G. YOUNG MD
  • NPI Number: 1538249479
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0878146
LAB Type Physician Office
Facility Name JOHN G YOUNG MD
Street 7633 BELLAIRE DRIVE S, STE 113
City FORT WORTH
State TX
ZIP 76132
Phone 817 361-7494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director JOHN G. YOUNG MD

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