45D2086279 CLIA NUMBER - PARK HILL SURGERY CENTER, LLC DBA TEXAS HEALTH SURGERY CTR PARK HILL

Laboratory Demographics

  • CLIA Code: 45D2086279
  • Facility Name: PARK HILL SURGERY CENTER, LLC DBA TEXAS HEALTH SURGERY CTR PARK HILL
  • Facility Address: 3455 LOCKE AVENUE, SUITE 100
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 817 585-1882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TREVOR PATTERSON
  • NPI Number: 1093120859
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2086279
LAB Type Ambulatory Surgery Center
Facility Name PARK HILL SURGERY CENTER, LLC DBA TEXAS HEALTH SURGERY CTR PARK HILL
Street 3455 LOCKE AVENUE, SUITE 100
City FORT WORTH
State TX
ZIP 76107
Phone 817 585-1882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ambulatory Surgery Center
Lab Director TREVOR PATTERSON

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