45D2029474 CLIA NUMBER - HEALTH EDUCATION LEARNING PROJECT

Laboratory Demographics

  • CLIA Code: 45D2029474
  • Facility Name: HEALTH EDUCATION LEARNING PROJECT
  • Facility Address: 1919 8TH AVE
    FORT WORTH, TX
    ZIP 76110
  • Facility Phone: 817 332-7722
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DEE JAY R. JOHANNESSEN
  • NPI Number: 1679228126
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2029474
LAB Type Community Clinic
Facility Name HEALTH EDUCATION LEARNING PROJECT
Street 1919 8TH AVE
City FORT WORTH
State TX
ZIP 76110
Phone 817 332-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Community Clinic
Lab Director DEE JAY R. JOHANNESSEN

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