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45D1107820 CLIA NUMBER - DIABETES AND THYROID CENTER OF FORT WORTH, PLLC

Laboratory Demographics

CLIA Number: 45D1107820

Facility Name: DIABETES AND THYROID CENTER OF FORT WORTH, PLLC

Facility Address:
6844 HARRIS PARKWAY SUITE 300
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 263-0007

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326373143

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 45D1107820
LAB Type Physician Office
Facility Name DIABETES AND THYROID CENTER OF FORT WORTH, PLLC
Street 6844 HARRIS PARKWAY SUITE 300
City FORT WORTH
State TX
ZIP 76132
Phone 817 263-0007
CertificateType 4
CertificateEffectiveDate 11/13/2023
CertificateExpirationDate 11/12/2025
FacilityType Waiver

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