45D0988160 CLIA NUMBER - FORT WORTH DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0988160
  • Facility Name: FORT WORTH DERMATOLOGY ASSOCIATES
  • Facility Address: 4828 BRYANT IRVIN CORT STE 200
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 817 336-8131
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN D. MABERRY
  • NPI Number: 1659569556
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0988160
LAB Type Physician Office
Facility Name FORT WORTH DERMATOLOGY ASSOCIATES
Street 4828 BRYANT IRVIN CORT STE 200
City FORT WORTH
State TX
ZIP 76107
Phone 817 336-8131
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director STEPHEN D. MABERRY

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