45D2162147 CLIA NUMBER - METROPLEX MEDICAL CENTRE AT FORT WORTH /METROPLEX CARE GROUP

Laboratory Demographics

CLIA Number: 45D2162147

Facility Name: METROPLEX MEDICAL CENTRE AT FORT WORTH /METROPLEX CARE GROUP

Facility Address:
201 COMMERCE ST
FORT WORTH, TX
ZIP 76102
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Facility Phone Number: 214 580-7277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326505637

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 45D2162147
LAB Type Physician Office
Facility Name METROPLEX MEDICAL CENTRE AT FORT WORTH /METROPLEX CARE GROUP
Street 201 COMMERCE ST
City FORT WORTH
State TX
ZIP 76102
Phone 214 580-7277
CertificateType 4
CertificateEffectiveDate 2/19/2023
CertificateExpirationDate 2/18/2025
FacilityType Waiver

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