45D0975207 CLIA NUMBER - JPS HEALTH CENTER - VIOLA PITTS/COMO

Laboratory Demographics

  • CLIA Code: 45D0975207
  • Facility Name: JPS HEALTH CENTER - VIOLA PITTS/COMO
  • Facility Address: 4701 N BRYANT IRVIN ROAD
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 817 702-3509
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: YARA GONZALES
  • NPI Number: 1760723472
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0975207
LAB Type Community Clinic
Facility Name JPS HEALTH CENTER - VIOLA PITTS/COMO
Street 4701 N BRYANT IRVIN ROAD
City FORT WORTH
State TX
ZIP 76107
Phone 817 702-3509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Community Clinic
Lab Director YARA GONZALES

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