45D0938890 CLIA NUMBER - WELLMED AT DIAMOND HILL

Laboratory Demographics

CLIA Number: 45D0938890

Facility Name: WELLMED AT DIAMOND HILL

Facility Address:
2223 NE 28TH STREET
FORT WORTH, TX
ZIP 76106
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Facility Phone Number: 817 624-3211

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104037605

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0938890
LAB Type	Physician Office
Facility Name	WELLMED AT DIAMOND HILL
Street	2223 NE 28TH STREET
City	FORT WORTH
State	TX
ZIP	76106
Phone	817 624-3211
CertificateType	4
CertificateEffectiveDate	1/16/2024
CertificateExpirationDate	1/15/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024