45D1075917 CLIA NUMBER - TEXAS HEALTHCARE

Laboratory Demographics

CLIA Number: 45D1075917

Facility Name: TEXAS HEALTHCARE

Facility Address:
1209 COLLEGE AVE
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 740-8400

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1205965035

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D1075917
LAB Type	Physician Office
Facility Name	TEXAS HEALTHCARE
Street	1209 COLLEGE AVE
City	FORT WORTH
State	TX
ZIP	76104
Phone	817 740-8400
CertificateType	3
CertificateEffectiveDate	10/31/2023
CertificateExpirationDate	10/30/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024