45D2047002 CLIA NUMBER - EC OPCO BEDFORD, LLC DBA BEDFORD ESTATES

Laboratory Demographics

  • CLIA Code: 45D2047002
  • Facility Name: EC OPCO BEDFORD, LLC DBA BEDFORD ESTATES
  • Facility Address: 3800 CENTRAL DRIVE
    BEDFORD, TX
    ZIP 76021
  • Facility Phone: 817 283-6604
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HEALTHER JACOB
  • NPI Number: 1952801664
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2047002
LAB Type Assisted Living Facility
Facility Name EC OPCO BEDFORD, LLC DBA BEDFORD ESTATES
Street 3800 CENTRAL DRIVE
City BEDFORD
State TX
ZIP 76021
Phone 817 283-6604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Assisted Living Facility
Lab Director HEALTHER JACOB

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