45D1048378 CLIA NUMBER - NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC

Laboratory Demographics

CLIA Number: 45D1048378

Facility Name: NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC

Facility Address:
2332 BEVERLY HILLS DR
FORT WORTH, TX
ZIP 76114
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Facility Phone Number: 817 625-4254

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1740668011

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1048378
LAB Type	Community Clinic
Facility Name	NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC
Street	2332 BEVERLY HILLS DR
City	FORT WORTH
State	TX
ZIP	76114
Phone	817 625-4254
CertificateType	4
CertificateEffectiveDate	8/12/2022
CertificateExpirationDate	8/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024