45D2026378 CLIA NUMBER - NAVJOT BAJWA MD, PA DBA CHILDREN MEDICAID CLINIC

Laboratory Demographics

  • CLIA Code: 45D2026378
  • Facility Name: NAVJOT BAJWA MD, PA DBA CHILDREN MEDICAID CLINIC
  • Facility Address: 11751 ALTA VISTA RD STE 103
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 623-2012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARMINDER S. DHALIWAL
  • NPI Number: 1881913028
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2026378
LAB Type Physician Office
Facility Name NAVJOT BAJWA MD, PA DBA CHILDREN MEDICAID CLINIC
Street 11751 ALTA VISTA RD STE 103
City FORT WORTH
State TX
ZIP 76244
Phone 817 623-2012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director DR. HARMINDER S. DHALIWAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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