45D1072789 CLIA NUMBER - BRETT L COCHRUM, MD

Laboratory Demographics

  • CLIA Code: 45D1072789
  • Facility Name: BRETT L COCHRUM, MD
  • Facility Address: 6108 OAKBEND TRAIL , SUITE 102
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 294-4959
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRETT L. COCHRUM
  • NPI Number: 1801836028
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1072789
LAB Type Physician Office
Facility Name BRETT L COCHRUM, MD
Street 6108 OAKBEND TRAIL , SUITE 102
City FORT WORTH
State TX
ZIP 76132
Phone 817 294-4959
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director BRETT L. COCHRUM

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