45D2084212 CLIA NUMBER - MARK A LINDEMANN, DO, PA

Laboratory Demographics

  • CLIA Code: 45D2084212
  • Facility Name: MARK A LINDEMANN, DO, PA
  • Facility Address: 4545 S BELLAIRE DRIVE SUITE 9
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 763-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. LINDEMANN
  • NPI Number: 1295776391
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2084212
LAB Type Physician Office
Facility Name MARK A LINDEMANN, DO, PA
Street 4545 S BELLAIRE DRIVE SUITE 9
City FORT WORTH
State TX
ZIP 76109
Phone 817 763-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director MARK A. LINDEMANN

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