45D1015704 CLIA NUMBER - MICHAEL MARSH MD PA

Laboratory Demographics

  • CLIA Code: 45D1015704
  • Facility Name: MICHAEL MARSH MD PA
  • Facility Address: 1929 FORT WORTH HWY
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 596-3531
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. MARSH
  • NPI Number: 1003878646
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1015704
LAB Type Physician Office
Facility Name MICHAEL MARSH MD PA
Street 1929 FORT WORTH HWY
City WEATHERFORD
State TX
ZIP 76086
Phone 817 596-3531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director MICHAEL D. MARSH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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