45D2009409 CLIA NUMBER - ALLISON READINGER MD, PA

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Laboratory Demographics

CLIA Number: 45D2009409

Facility Name: ALLISON READINGER MD, PA

Facility Address:
800 EIGHTH AVENUE, SUITE 326
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 885-8222

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1912213778

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	45D2009409
LAB Type	Practitioner Other
Facility Name	ALLISON READINGER MD, PA
Street	800 EIGHTH AVENUE, SUITE 326
City	FORT WORTH
State	TX
ZIP	76104
Phone	817 885-8222
CertificateType	3
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	PPMP

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