45D2043962 CLIA NUMBER - JOSEPH OBENG MD PA

Laboratory Demographics

  • CLIA Code: 45D2043962
  • Facility Name: JOSEPH OBENG MD PA
  • Facility Address: 2600 MALL CIRCLE
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 870-1033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH OBENG MD PA
  • NPI Number: 1023075058
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2043962
LAB Type Physician Office
Facility Name JOSEPH OBENG MD PA
Street 2600 MALL CIRCLE
City FORT WORTH
State TX
ZIP 76116
Phone 817 870-1033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director JOSEPH OBENG MD PA

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