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45D2151078 CLIA NUMBER - CARELON MEDICAL PARTNERS OF ARIZONA PC

Laboratory Demographics

CLIA Number: 45D2151078

Facility Name: CARELON MEDICAL PARTNERS OF ARIZONA PC

Facility Address:
512 WEST ROSENDALE ST
FORT WORTH, TX
ZIP 76104
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Facility Phone Number: 817 289-8300

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1144721432

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 45D2151078
LAB Type Physician Office
Facility Name CARELON MEDICAL PARTNERS OF ARIZONA PC
Street 512 WEST ROSENDALE ST
City FORT WORTH
State TX
ZIP 76104
Phone 817 289-8300
CertificateType 4
CertificateEffectiveDate 7/11/2022
CertificateExpirationDate 7/10/2024
FacilityType Waiver

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