45D2087514 CLIA NUMBER - WESTSIDE MOBILE DRUG TESTING

Laboratory Demographics

  • CLIA Code: 45D2087514
  • Facility Name: WESTSIDE MOBILE DRUG TESTING
  • Facility Address: 9801 BOIS D ARC CT
    FORT WORTH, TX
    ZIP 76126
  • Facility Phone: 817 349-9070
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MARK SANEMAN
  • NPI Number: 1639823958
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2087514
LAB Type Mobile Laboratory
Facility Name WESTSIDE MOBILE DRUG TESTING
Street 9801 BOIS D ARC CT
City FORT WORTH
State TX
ZIP 76126
Phone 817 349-9070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Mobile Laboratory
Lab Director MARK SANEMAN

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