45D1075917 CLIA NUMBER - TEXAS HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D1075917
  • Facility Name: TEXAS HEALTHCARE
  • Facility Address: 1209 COLLEGE AVE
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: (817) 740-8400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELLE TORRES
  • NPI Number: 1083770325
  • Taxonomy: 207W00000X - Ophthalmology

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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 8177408400
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 10/31/2025
Certificate Expiration Date 10/30/2027
Facility Type Physician Office
Lab Director MICHELLE TORRES

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This page was last updated on: 5/18/2026