45D2029474 CLIA NUMBER - HEALTH EDUCATION LEARNING PROJECT

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Laboratory Demographics

CLIA Number: 45D2029474

Facility Name: HEALTH EDUCATION LEARNING PROJECT

Facility Address:
1919 8TH AVE
FORT WORTH, TX
ZIP 76110
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Facility Phone Number: 817 332-7722

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1679228126

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024