45D2217492 CLIA NUMBER - TEXAS DIABETES & THYROID CLINIC, PA

Laboratory Demographics

CLIA Number: 45D2217492

Facility Name: TEXAS DIABETES & THYROID CLINIC, PA

Facility Address:
925 SANTA FE DR SUITE 112
WEATHERFORD, TX
ZIP 76086
Get Directions

Facility Phone Number: 817 533-5233

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114520376

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	45D2217492
LAB Type	Physician Office
Facility Name	TEXAS DIABETES & THYROID CLINIC, PA
Street	925 SANTA FE DR SUITE 112
City	WEATHERFORD
State	TX
ZIP	76086
Phone	817 533-5233
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024