45D1026479 CLIA NUMBER - AIDS OUTREACH CENTER

Laboratory Demographics

  • CLIA Code: 45D1026479
  • Facility Name: AIDS OUTREACH CENTER
  • Facility Address: 400 N BEACH STREET SUITE 100
    FORT WORTH, TX
    ZIP 76111
  • Facility Phone: 817 335-1994
  • Facility Type: Other - COMMUNITY BASED ORG
  • Facility Type: Waiver
  • Lab Director: RUBEN RAMIREZ
  • NPI Number: 1285761999
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1026479
LAB Type Other - COMMUNITY BASED ORG
Facility Name AIDS OUTREACH CENTER
Street 400 N BEACH STREET SUITE 100
City FORT WORTH
State TX
ZIP 76111
Phone 817 335-1994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - COMMUNITY BASED ORG
Lab Director RUBEN RAMIREZ

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