45D2131471 CLIA NUMBER - ICARE EMERGENCY ROOM

Laboratory Demographics

  • CLIA Code: 45D2131471
  • Facility Name: ICARE EMERGENCY ROOM
  • Facility Address: 5500 SYCAMORE SCHOOL ROAD
    FORT WORTH, TX
    ZIP 76123
  • Facility Phone: 682 707-9707
  • Facility Type: Other - FSED
  • Facility Type: Accreditation
  • Lab Director: SHANE COLE
  • NPI Number: 1396280756
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2131471
LAB Type Other - FSED
Facility Name ICARE EMERGENCY ROOM
Street 5500 SYCAMORE SCHOOL ROAD
City FORT WORTH
State TX
ZIP 76123
Phone 682 707-9707
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 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Other - FSED
Lab Director SHANE COLE

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