45D2140239 CLIA NUMBER - EASTCHASE TX EMER CTR, LLC DBA EXCEPTIONAL EASTCHASE ER

Laboratory Demographics

  • CLIA Code: 45D2140239
  • Facility Name: EASTCHASE TX EMER CTR, LLC DBA EXCEPTIONAL EASTCHASE ER
  • Facility Address: 1251 E CHASE PARKWAY
    FORT WORTH, TX
    ZIP 76120
  • Facility Phone: 817 556-0285
  • Facility Type: Other - FREE STANDING ER
  • Facility Type: Accreditation
  • Lab Director: MR. KARIM MOSHREFI
  • NPI Number: 1033636865
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2140239
LAB Type Other - FREE STANDING ER
Facility Name EASTCHASE TX EMER CTR, LLC DBA EXCEPTIONAL EASTCHASE ER
Street 1251 E CHASE PARKWAY
City FORT WORTH
State TX
ZIP 76120
Phone 817 556-0285
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 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - FREE STANDING ER
Lab Director MR. KARIM MOSHREFI

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