45D2129156 CLIA NUMBER - THE CENTER FOR CANCER AND BLOOD DISORDERS

Laboratory Demographics

CLIA Number: 45D2129156

Facility Name: THE CENTER FOR CANCER AND BLOOD DISORDERS

Facility Address:
800 W MAGNOLIA AVENUE
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 759-7000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1326089897

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2129156
LAB Type Physician Office
Facility Name THE CENTER FOR CANCER AND BLOOD DISORDERS
Street 800 W MAGNOLIA AVENUE
City FORT WORTH
State TX
ZIP 76104
Phone 817 759-7000
CertificateType 2
CertificateEffectiveDate 7/30/2023
CertificateExpirationDate 7/29/2025
FacilityType Compliance

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