45D0984251 CLIA NUMBER - LISA M BUELL MD PA

Laboratory Demographics

  • CLIA Code: 45D0984251
  • Facility Name: LISA M BUELL MD PA
  • Facility Address: 6250 JOHN RYAN DRIVE
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 346-9880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA M. BUELL MD
  • NPI Number: 1669604088
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0984251
LAB Type Physician Office
Facility Name LISA M BUELL MD PA
Street 6250 JOHN RYAN DRIVE
City FORT WORTH
State TX
ZIP 76132
Phone 817 346-9880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director LISA M. BUELL MD

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