45D0891975 CLIA NUMBER - BRIDGEWAY HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D0891975
  • Facility Name: BRIDGEWAY HEALTH SERVICES INC
  • Facility Address: 3880 HULEN, SUITE 670
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 940 484-4406
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEBORAH ELLIS RN
  • NPI Number: 1336234087
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0891975
LAB Type Home Health Agency
Facility Name BRIDGEWAY HEALTH SERVICES INC
Street 3880 HULEN, SUITE 670
City FORT WORTH
State TX
ZIP 76107
Phone 940 484-4406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Home Health Agency
Lab Director DEBORAH ELLIS RN

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