45D2054313 CLIA NUMBER - NORTH TEXAS CLINICAL TRIALS, LLC

Laboratory Demographics

  • CLIA Code: 45D2054313
  • Facility Name: NORTH TEXAS CLINICAL TRIALS, LLC
  • Facility Address: 1650 W ROSEDALE ST SUITE 300
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 744-8844
  • Facility Type: Other - CLINICAL TRIALS SITE
  • Facility Type: Waiver
  • Lab Director: BRIAN T. MAYNARD
  • NPI Number: 1629139324
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2054313
LAB Type Other - CLINICAL TRIALS SITE
Facility Name NORTH TEXAS CLINICAL TRIALS, LLC
Street 1650 W ROSEDALE ST SUITE 300
City FORT WORTH
State TX
ZIP 76104
Phone 817 744-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other - CLINICAL TRIALS SITE
Lab Director BRIAN T. MAYNARD

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