45D1060740 CLIA NUMBER - TRAIL LAKE NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D1060740
  • Facility Name: TRAIL LAKE NURSING AND REHABILITATION
  • Facility Address: 7100 TRAIL LAKE DRIVE
    FORT WORTH, TX
    ZIP 76133
  • Facility Phone: 817 263-2224
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERICA BOYD
  • NPI Number: 1679586325
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1060740
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRAIL LAKE NURSING AND REHABILITATION
Street 7100 TRAIL LAKE DRIVE
City FORT WORTH
State TX
ZIP 76133
Phone 817 263-2224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERICA BOYD

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