45D1102148 CLIA NUMBER - MICHAEL L BAILEY, DO, PA

Laboratory Demographics

  • CLIA Code: 45D1102148
  • Facility Name: MICHAEL L BAILEY, DO, PA
  • Facility Address: 3418 N TARRANT PKWY SUITE 310
    FORT WORTH, TX
    ZIP 76177
  • Facility Phone: 817 562-2339
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BAILEY
  • NPI Number: 1215931639
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1102148
LAB Type Physician Office
Facility Name MICHAEL L BAILEY, DO, PA
Street 3418 N TARRANT PKWY SUITE 310
City FORT WORTH
State TX
ZIP 76177
Phone 817 562-2339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director MICHAEL L. BAILEY

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