45D2175393 CLIA NUMBER - TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE, LLC

Laboratory Demographics

  • CLIA Code: 45D2175393
  • Facility Name: TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE, LLC
  • Facility Address: 10900 FOUNDERS WAY SUITE 100
    FORT WORTH, TX
    ZIP 76126
  • Facility Phone: 817 930-5002
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HARISH S. BADHEY
  • NPI Number: 1770952830
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 45D2175393
LAB Type Ambulatory Surgery Center
Facility Name TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE, LLC
Street 10900 FOUNDERS WAY SUITE 100
City FORT WORTH
State TX
ZIP 76126
Phone 817 930-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Ambulatory Surgery Center
Lab Director HARISH S. BADHEY

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