45D1086019 CLIA NUMBER - KASS INC

Laboratory Demographics

  • CLIA Code: 45D1086019
  • Facility Name: KASS INC
  • Facility Address: 2817 STARK STREET, SUITE D
    FORT WORTH, TX
    ZIP 76112
  • Facility Phone: 817 451-6413
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SHELLEY REED-POUNCY
  • NPI Number: 1114382975
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1086019
LAB Type Comp. Outpatient Rehab Facility
Facility Name KASS INC
Street 2817 STARK STREET, SUITE D
City FORT WORTH
State TX
ZIP 76112
Phone 817 451-6413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director SHELLEY REED-POUNCY

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