45D2113613 CLIA NUMBER - TOTALCARE UNIVERSITY DRIVE

Laboratory Demographics

CLIA Number: 45D2113613

Facility Name: TOTALCARE UNIVERSITY DRIVE

Facility Address:
1101 UNIVERSITY DRIVE
FORT WORTH, TX
ZIP 76107
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Facility Phone Number: 817 768-6455

Facility Type: Other - FREESTANDING ER CTR

Certificate Type: Accreditation

NPI Number: 1124603386

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2113613
LAB Type	Other - FREESTANDING ER CTR
Facility Name	TOTALCARE UNIVERSITY DRIVE
Street	1101 UNIVERSITY DRIVE
City	FORT WORTH
State	TX
ZIP	76107
Phone	817 768-6455
CertificateType	1
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024