45D2002334 CLIA NUMBER - QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D2002334
  • Facility Name: QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT FORT WORTH
  • Facility Address: 301 CLIFFORD CENTER DRIVE #115
    FORT WORTH, TX
    ZIP 76108
  • Facility Phone: 817 737-6552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY ROACH
  • NPI Number: 1497171110
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2002334
LAB Type Physician Office
Facility Name QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT FORT WORTH
Street 301 CLIFFORD CENTER DRIVE #115
City FORT WORTH
State TX
ZIP 76108
Phone 817 737-6552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director TERRY ROACH

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