45D1082357 CLIA NUMBER - TOPCARE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 45D1082357

Facility Name: TOPCARE MEDICAL GROUP INC

Facility Address:
4200 SW FREEWAY SUITE 106
FORT WORTH, TX
ZIP 76115
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Facility Phone Number: 817 566-0505

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1780920884

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	45D1082357
LAB Type	Community Clinic
Facility Name	TOPCARE MEDICAL GROUP INC
Street	4200 SW FREEWAY SUITE 106
City	FORT WORTH
State	TX
ZIP	76115
Phone	817 566-0505
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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