45D2076306 CLIA NUMBER - VED V AGGARWAL MD PA

Laboratory Demographics

  • CLIA Code: 45D2076306
  • Facility Name: VED V AGGARWAL MD PA
  • Facility Address: 1000 LIPSCOMB STREET, SUITE 110
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 348-8600
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MARK J. SHUMAN
  • NPI Number: 1457820599
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2076306
LAB Type Physician Office
Facility Name VED V AGGARWAL MD PA
Street 1000 LIPSCOMB STREET, SUITE 110
City FORT WORTH
State TX
ZIP 76104
Phone 817 348-8600
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director DR. MARK J. SHUMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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