45D2103398 CLIA NUMBER - CHRISTIAN CARE HOUSE CALLS, LLC

Laboratory Demographics

  • CLIA Code: 45D2103398
  • Facility Name: CHRISTIAN CARE HOUSE CALLS, LLC
  • Facility Address: 135 TREETOP DRIVE
    FORT WORTH, TX
    ZIP 76126
  • Facility Phone: 817 372-9200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANICA A. JORDAN
  • NPI Number: 1275901340
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2103398
LAB Type Practitioner Other
Facility Name CHRISTIAN CARE HOUSE CALLS, LLC
Street 135 TREETOP DRIVE
City FORT WORTH
State TX
ZIP 76126
Phone 817 372-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Practitioner Other
Lab Director DANICA A. JORDAN

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