45D2183744 CLIA NUMBER - PARKER COUNTY HOSPITAL DISTRICT OUTREACH PROGRAM

Laboratory Demographics

  • CLIA Code: 45D2183744
  • Facility Name: PARKER COUNTY HOSPITAL DISTRICT OUTREACH PROGRAM
  • Facility Address: 1130 PECAN ST
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 599-1230
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAMES S. WELCH
  • NPI Number: 1366975856
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2183744
LAB Type Mobile Laboratory
Facility Name PARKER COUNTY HOSPITAL DISTRICT OUTREACH PROGRAM
Street 1130 PECAN ST
City WEATHERFORD
State TX
ZIP 76086
Phone 817 599-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Mobile Laboratory
Lab Director JAMES S. WELCH

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