45D2025815 CLIA NUMBER - CAREATC FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D2025815
  • Facility Name: CAREATC FORT WORTH
  • Facility Address: 6618 FOSSIL BLUFF DR SUITE 132
    FORT WORTH, TX
    ZIP 76137
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: JUANITA MARTINEZ
  • NPI Number: 1629520234
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2025815
LAB Type Other - HEALTH CENTER
Facility Name CAREATC FORT WORTH
Street 6618 FOSSIL BLUFF DR SUITE 132
City FORT WORTH
State TX
ZIP 76137
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Other - HEALTH CENTER
Lab Director JUANITA MARTINEZ

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