45D2026821 CLIA NUMBER - PATRICIA ROBERTS HARRIS DO PLLC DBA EXTRA CARE CONCERNS

Laboratory Demographics

  • CLIA Code: 45D2026821
  • Facility Name: PATRICIA ROBERTS HARRIS DO PLLC DBA EXTRA CARE CONCERNS
  • Facility Address: 2529 E LANCASTER AVE SUITE A
    FORT WORTH, TX
    ZIP 76103
  • Facility Phone: 817 907-6714
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA R. HARRIS
  • NPI Number: 1366940470
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2026821
LAB Type Hospice
Facility Name PATRICIA ROBERTS HARRIS DO PLLC DBA EXTRA CARE CONCERNS
Street 2529 E LANCASTER AVE SUITE A
City FORT WORTH
State TX
ZIP 76103
Phone 817 907-6714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Hospice
Lab Director DR. PATRICIA R. HARRIS

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