45D1003594 CLIA NUMBER - JOSEPH MCWHERTER,MD PA

Laboratory Demographics

CLIA Number: 45D1003594

Facility Name: JOSEPH MCWHERTER,MD PA

Facility Address:
709 W LEUDA STREET
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 926-2511

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639180516

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D1003594
LAB Type	Physician Office
Facility Name	JOSEPH MCWHERTER,MD PA
Street	709 W LEUDA STREET
City	FORT WORTH
State	TX
ZIP	76104
Phone	817 926-2511
CertificateType	3
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024