45D1004914 CLIA NUMBER - SOUTHWEST FORT WORTH ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D1004914
  • Facility Name: SOUTHWEST FORT WORTH ENDOSCOPY CENTER
  • Facility Address: 6317 HARRIS PARKWAY, SUITE 100
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 423-2888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIC J. ESPARZA
  • NPI Number: 1467497735
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1004914
LAB Type Ambulatory Surgery Center
Facility Name SOUTHWEST FORT WORTH ENDOSCOPY CENTER
Street 6317 HARRIS PARKWAY, SUITE 100
City FORT WORTH
State TX
ZIP 76132
Phone 817 423-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Ambulatory Surgery Center
Lab Director ERIC J. ESPARZA

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