45D1044711 CLIA NUMBER - TARRANT COUNTY CAMPUS DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1044711
  • Facility Name: TARRANT COUNTY CAMPUS DIALYSIS
  • Facility Address: 5000 CAMPUS DRIVE
    FORT WORTH, TX
    ZIP 76119
  • Facility Phone: 817 413-0330
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TERRY LE
  • NPI Number: 1487739777
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1044711
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TARRANT COUNTY CAMPUS DIALYSIS
Street 5000 CAMPUS DRIVE
City FORT WORTH
State TX
ZIP 76119
Phone 817 413-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TERRY LE

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