45D2208101 CLIA NUMBER - LAURA BRADFORD, MD

Laboratory Demographics

  • CLIA Code: 45D2208101
  • Facility Name: LAURA BRADFORD, MD
  • Facility Address: 1425 8TH AVE SUITE B
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 926-4118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA BRADFORD
  • NPI Number: 1831490747
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2208101
LAB Type Physician Office
Facility Name LAURA BRADFORD, MD
Street 1425 8TH AVE SUITE B
City FORT WORTH
State TX
ZIP 76104
Phone 817 926-4118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director LAURA BRADFORD

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