45D1050617 CLIA NUMBER - BTDI JV, LLP

Laboratory Demographics

  • CLIA Code: 45D1050617
  • Facility Name: BTDI JV, LLP
  • Facility Address: 601 SOUTH MAIN STREET,SUITE 100
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 482-2000
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: SLOANE ORY
  • NPI Number: 1801234240
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D1050617
LAB Type Other - OUTPATIENT IMAGING
Facility Name BTDI JV, LLP
Street 601 SOUTH MAIN STREET,SUITE 100
City KELLER
State TX
ZIP 76248
Phone 817 482-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Other - OUTPATIENT IMAGING
Lab Director SLOANE ORY

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