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45D2087514 CLIA NUMBER - WESTSIDE MOBILE DRUG TESTING

Laboratory Demographics

CLIA Number: 45D2087514

Facility Name: WESTSIDE MOBILE DRUG TESTING

Facility Address:
9801 BOIS D ARC CT
FORT WORTH, TX
ZIP 76126
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Facility Phone Number: 817 349-9070

Facility Type: Other - MULTIFACET COLLECTION SIT

Certificate Type: Waiver
NPI Number: 1639823958

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 45D2087514
LAB Type Other - MULTIFACET COLLECTION SIT
Facility Name WESTSIDE MOBILE DRUG TESTING
Street 9801 BOIS D ARC CT
City FORT WORTH
State TX
ZIP 76126
Phone 817 349-9070
CertificateType 4
CertificateEffectiveDate 11/25/2022
CertificateExpirationDate 11/24/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024