45D0947509 CLIA NUMBER - PETER J IRWIN MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D0947509
  • Facility Name: PETER J IRWIN MD, PLLC
  • Facility Address: 6100 HARRIS PARKWAY SUITE 300
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 433-5928
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER J. IRWIN
  • NPI Number: 1790759942
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0947509
LAB Type Physician Office
Facility Name PETER J IRWIN MD, PLLC
Street 6100 HARRIS PARKWAY SUITE 300
City FORT WORTH
State TX
ZIP 76132
Phone 817 433-5928
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director PETER J. IRWIN

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