45D2097072 CLIA NUMBER - BROADWAY CITYVIEW

Laboratory Demographics

  • CLIA Code: 45D2097072
  • Facility Name: BROADWAY CITYVIEW
  • Facility Address: 5301 BRYANT IRVIN ROAD
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 294-2280
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: YUSUF KHAN
  • NPI Number: 1740899855
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2097072
LAB Type Assisted Living Facility
Facility Name BROADWAY CITYVIEW
Street 5301 BRYANT IRVIN ROAD
City FORT WORTH
State TX
ZIP 76132
Phone 817 294-2280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Assisted Living Facility
Lab Director YUSUF KHAN

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