45D2069725 CLIA NUMBER - MESA SPRINGS HOSPITAL

Laboratory Demographics

  • CLIA Code: 45D2069725
  • Facility Name: MESA SPRINGS HOSPITAL
  • Facility Address: 5560 MESA SPRINGS DRIVE
    FORT WORTH, TX
    ZIP 76123
  • Facility Phone: 817 292-4600
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MOLLY SMITH
  • NPI Number: 1225554173
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2069725
LAB Type Hospital
Facility Name MESA SPRINGS HOSPITAL
Street 5560 MESA SPRINGS DRIVE
City FORT WORTH
State TX
ZIP 76123
Phone 817 292-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Hospital
Lab Director MOLLY SMITH

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