45D2128834 CLIA NUMBER - MAKD HEART & VASCULAR DBA NORTH TEXAS HEART & VASCULAR

Laboratory Demographics

  • CLIA Code: 45D2128834
  • Facility Name: MAKD HEART & VASCULAR DBA NORTH TEXAS HEART & VASCULAR
  • Facility Address: 1401 8TH AVENUE
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 920-7665
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: AMIR MALIK
  • NPI Number: 1376918292
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2128834
LAB Type Physician Office
Facility Name MAKD HEART & VASCULAR DBA NORTH TEXAS HEART & VASCULAR
Street 1401 8TH AVENUE
City FORT WORTH
State TX
ZIP 76104
Phone 817 920-7665
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director AMIR MALIK

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