45D2176263 CLIA NUMBER - LEON S TIO, MD, PA DBA CLOVER INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2176263
  • Facility Name: LEON S TIO, MD, PA DBA CLOVER INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 800 8TH AVE SUITE 506
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 386-3632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELAINE I. PHUAH
  • NPI Number: 1023581006
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2176263
LAB Type Physician Office
Facility Name LEON S TIO, MD, PA DBA CLOVER INTERNAL MEDICINE ASSOCIATES
Street 800 8TH AVE SUITE 506
City FORT WORTH
State TX
ZIP 76104
Phone 817 386-3632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director ELAINE I. PHUAH

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