45D2093159 CLIA NUMBER - VINCENT LEWIS, D O

Laboratory Demographics

  • CLIA Code: 45D2093159
  • Facility Name: VINCENT LEWIS, D O
  • Facility Address: 2560 RIVER PARK DRIVE SUITE 330
    FORT WORTH, TX
    ZIP 76116
  • Facility Phone: 817 377-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT LEWIS
  • NPI Number: 1407819493
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2093159
LAB Type Physician Office
Facility Name VINCENT LEWIS, D O
Street 2560 RIVER PARK DRIVE SUITE 330
City FORT WORTH
State TX
ZIP 76116
Phone 817 377-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director VINCENT LEWIS

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