45D0960669 CLIA NUMBER - JONATHAN RICHARD MD

Laboratory Demographics

  • CLIA Code: 45D0960669
  • Facility Name: JONATHAN RICHARD MD
  • Facility Address: 5009 THOMPSON TERRACE #102
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 581-6800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN RICHARD MD
  • NPI Number: 1376088922
  • Taxonomy: 1041C0700X - Social Worker

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0960669
LAB Type Physician Office
Facility Name JONATHAN RICHARD MD
Street 5009 THOMPSON TERRACE #102
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 581-6800
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 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director JONATHAN RICHARD MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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