45D2017830 CLIA NUMBER - THERESA STRETCH MD PA

Laboratory Demographics

  • CLIA Code: 45D2017830
  • Facility Name: THERESA STRETCH MD PA
  • Facility Address: 1806 PLEASANT RIDGE
    ARLINGTON, TX
    ZIP 76015
  • Facility Phone: 817 635-6363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA STRETCH
  • NPI Number: 1710218169
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2017830
LAB Type Physician Office
Facility Name THERESA STRETCH MD PA
Street 1806 PLEASANT RIDGE
City ARLINGTON
State TX
ZIP 76015
Phone 817 635-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director THERESA STRETCH

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This page was last updated on: 6/4/2025