45D1093874 CLIA NUMBER - TOUCHSTONE IMAGING FOSSIL CREEK

Laboratory Demographics

  • CLIA Code: 45D1093874
  • Facility Name: TOUCHSTONE IMAGING FOSSIL CREEK
  • Facility Address: 5455 BASSWOOD BLVD, SUITE 550
    FORT WORTH, TX
    ZIP 76137
  • Facility Phone: 817 428-5002
  • Facility Type: Other - IDTF
  • Facility Type: Waiver
  • Lab Director: CARLEY HODGE
  • NPI Number: 1154769503
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D1093874
LAB Type Other - IDTF
Facility Name TOUCHSTONE IMAGING FOSSIL CREEK
Street 5455 BASSWOOD BLVD, SUITE 550
City FORT WORTH
State TX
ZIP 76137
Phone 817 428-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Other - IDTF
Lab Director CARLEY HODGE

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