45D0989256 CLIA NUMBER - JOHN L MOSES MD

Laboratory Demographics

  • CLIA Code: 45D0989256
  • Facility Name: JOHN L MOSES MD
  • Facility Address: 11803 S FREEWAY # 203
    FORT WORTH, TX
    ZIP 76115
  • Facility Phone: 817 568-1004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. MOSES MD
  • NPI Number: 1588684583
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0989256
LAB Type Physician Office
Facility Name JOHN L MOSES MD
Street 11803 S FREEWAY # 203
City FORT WORTH
State TX
ZIP 76115
Phone 817 568-1004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director JOHN L. MOSES MD

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