45D2213011 CLIA NUMBER - BROOKDALE TANGLEWOOD OAKS

Laboratory Demographics

  • CLIA Code: 45D2213011
  • Facility Name: BROOKDALE TANGLEWOOD OAKS
  • Facility Address: 2698 S HULEN ST
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 922-9559
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTY P. FOLEY
  • NPI Number: 1265641054
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2213011
LAB Type Assisted Living Facility
Facility Name BROOKDALE TANGLEWOOD OAKS
Street 2698 S HULEN ST
City FORT WORTH
State TX
ZIP 76109
Phone 817 922-9559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Assisted Living Facility
Lab Director KRISTY P. FOLEY

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