45D2051929 CLIA NUMBER - NORTH FORT WORTHY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2051929
  • Facility Name: NORTH FORT WORTHY DIALYSIS
  • Facility Address: 3812 E BELKNAP ST
    FORT WORTH, TX
    ZIP 76111
  • Facility Phone: 682 647-0013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS BAHRAMI
  • NPI Number: 1831446624
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2051929
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH FORT WORTHY DIALYSIS
Street 3812 E BELKNAP ST
City FORT WORTH
State TX
ZIP 76111
Phone 682 647-0013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS BAHRAMI

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