45D1054770 CLIA NUMBER - HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING OF SOUTH ARLINGTON

Laboratory Demographics

  • CLIA Code: 45D1054770
  • Facility Name: HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING OF SOUTH ARLINGTON
  • Facility Address: 4601 MATLOCK ROAD
    ARLINGTON, TX
    ZIP 76018
  • Facility Phone: 817 375-3170
  • Facility Type: Other - IDTF DIAGNOSTIC RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: MARISOL ALCALA
  • NPI Number: 1689095325
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D1054770
LAB Type Other - IDTF DIAGNOSTIC RADIOLOGY
Facility Name HEALTH IMAGING PARTNERS, LLC DBA ENVISION IMAGING OF SOUTH ARLINGTON
Street 4601 MATLOCK ROAD
City ARLINGTON
State TX
ZIP 76018
Phone 817 375-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Other - IDTF DIAGNOSTIC RADIOLOGY
Lab Director MARISOL ALCALA

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