45D0966683 CLIA NUMBER - ROBERT H KELLY, MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D0966683
  • Facility Name: ROBERT H KELLY, MD, PLLC
  • Facility Address: 929 COLLEGE AVENUE SUITE B
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 336-3431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT H. KELLY
  • NPI Number: 1952386476
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0966683
LAB Type Physician Office
Facility Name ROBERT H KELLY, MD, PLLC
Street 929 COLLEGE AVENUE SUITE B
City FORT WORTH
State TX
ZIP 76104
Phone 817 336-3431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director ROBERT H. KELLY

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