45D1028889 CLIA NUMBER - QUANG TRONG LE DO, PA

Laboratory Demographics

  • CLIA Code: 45D1028889
  • Facility Name: QUANG TRONG LE DO, PA
  • Facility Address: 2550 RIVER PARK DR, SUITE 110
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 731-1289
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: QUANG TRONG LE
  • NPI Number: 1417954389
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1028889
LAB Type Physician Office
Facility Name QUANG TRONG LE DO, PA
Street 2550 RIVER PARK DR, SUITE 110
City FORT WORTH
State TX
ZIP 76116
Phone 817 731-1289
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 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director QUANG TRONG LE

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