45D2028458 CLIA NUMBER - TEXAS TREATMENT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2028458
  • Facility Name: TEXAS TREATMENT SERVICES LLC
  • Facility Address: 4801 BRENTWOOD STAIR ROAD STE 404
    FORT WORTH, TX
    ZIP 76103
  • Facility Phone: 817 492-9575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKAS V. MUDGAPALLI
  • NPI Number: 1932377082
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2028458
LAB Type Physician Office
Facility Name TEXAS TREATMENT SERVICES LLC
Street 4801 BRENTWOOD STAIR ROAD STE 404
City FORT WORTH
State TX
ZIP 76103
Phone 817 492-9575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director VIKAS V. MUDGAPALLI

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