45D2080602 CLIA NUMBER - BRONSON CLINIC INC

Laboratory Demographics

  • CLIA Code: 45D2080602
  • Facility Name: BRONSON CLINIC INC
  • Facility Address: 5521 BELLAIRE DRIVE SO SUITE 100
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 732-4441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK R. BRONSON
  • NPI Number: 1225231715
  • Taxonomy: 111NX0800X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2080602
LAB Type Physician Office
Facility Name BRONSON CLINIC INC
Street 5521 BELLAIRE DRIVE SO SUITE 100
City FORT WORTH
State TX
ZIP 76109
Phone 817 732-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director MARK R. BRONSON

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