45D0968915 CLIA NUMBER - DAYTIME OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D0968915
  • Facility Name: DAYTIME OUTPATIENT SURGERY CENTER
  • Facility Address: 6311 SOUTHWEST BOULEVARD
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 738-3390
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAMELA A. MONAGHAN
  • NPI Number: 1902850571
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0968915
LAB Type Ambulatory Surgery Center
Facility Name DAYTIME OUTPATIENT SURGERY CENTER
Street 6311 SOUTHWEST BOULEVARD
City FORT WORTH
State TX
ZIP 76132
Phone 817 738-3390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Ambulatory Surgery Center
Lab Director PAMELA A. MONAGHAN

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