45D1073366 CLIA NUMBER - CAROL A WOOD, DO, PA

Laboratory Demographics

  • CLIA Code: 45D1073366
  • Facility Name: CAROL A WOOD, DO, PA
  • Facility Address: 1751 BROAD PARK CIRCLE SOUTH, SUITE 203
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 539-7377
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAROL A. WOOD,DO
  • NPI Number: 1942220975
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1073366
LAB Type Physician Office
Facility Name CAROL A WOOD, DO, PA
Street 1751 BROAD PARK CIRCLE SOUTH, SUITE 203
City MANSFIELD
State TX
ZIP 76063
Phone 817 539-7377
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 9/7/2023
Certificate Expiration Date 9/6/2025
Facility Type Physician Office
Lab Director CAROL A. WOOD,DO

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This page was last updated on: 3/20/2025