45D2045884 CLIA NUMBER - TEXAS HEALTH WOMEN'S CARE

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Laboratory Demographics

CLIA Number: 45D2045884

Facility Name: TEXAS HEALTH WOMEN'S CARE

Facility Address:
10840 TEXAS HEALTH TRAIL SUITE 110
FORT WORTH, TX
ZIP 76244
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Facility Phone Number: 682 212-6437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508367194

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2045884
LAB Type	Physician Office
Facility Name	TEXAS HEALTH WOMEN'S CARE
Street	10840 TEXAS HEALTH TRAIL SUITE 110
City	FORT WORTH
State	TX
ZIP	76244
Phone	682 212-6437
CertificateType	4
CertificateEffectiveDate	1/4/2024
CertificateExpirationDate	1/3/2026
FacilityType	Waiver

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