45D0992101 CLIA NUMBER - BEVERLY G WOOD MD

Laboratory Demographics

  • CLIA Code: 45D0992101
  • Facility Name: BEVERLY G WOOD MD
  • Facility Address: 1615 HOSPITAL PARKWAY # 310
    BEDFORD, TX
    ZIP 76022
  • Facility Phone: 817 684-5200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BEVERLY G. WOOD MD
  • NPI Number: 1407812712
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0992101
LAB Type Physician Office
Facility Name BEVERLY G WOOD MD
Street 1615 HOSPITAL PARKWAY # 310
City BEDFORD
State TX
ZIP 76022
Phone 817 684-5200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director BEVERLY G. WOOD MD

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