45D2045189 CLIA NUMBER - TEXAS HEALTH HARRIS METHODIST ALLIANCE HOSPITAL

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Laboratory Demographics

CLIA Number: 45D2045189

Facility Name: TEXAS HEALTH HARRIS METHODIST ALLIANCE HOSPITAL

Facility Address:
10864 TEXAS HEALTH TRAIL
FORT WORTH, TX
ZIP 76244
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Facility Phone Number: 817 250-5635

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1104341254

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2045189
LAB Type	Hospital
Facility Name	TEXAS HEALTH HARRIS METHODIST ALLIANCE HOSPITAL
Street	10864 TEXAS HEALTH TRAIL
City	FORT WORTH
State	TX
ZIP	76244
Phone	817 250-5635
CertificateType	1
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Accreditation

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