45D2104806 CLIA NUMBER - CD URGENT CARE CENTER 5

Laboratory Demographics

  • CLIA Code: 45D2104806
  • Facility Name: CD URGENT CARE CENTER 5
  • Facility Address: 3020 W 7TH STREET, SUITE 210
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: (214) 871-7000
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: RAI SHIWALI
  • NPI Number: 1407224850
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2104806
LAB Type Other - URGENT CARE
Facility Name CD URGENT CARE CENTER 5
Street 3020 W 7TH STREET, SUITE 210
City FORT WORTH
State TX
ZIP 76107
Phone 2148717000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2025
Certificate Expiration Date 11/11/2027
Facility Type Other - URGENT CARE
Lab Director RAI SHIWALI

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This page was last updated on: 5/15/2026