45D2233193 CLIA NUMBER - BETHESDA GARDENS FORT WORTH ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 45D2233193
  • Facility Name: BETHESDA GARDENS FORT WORTH ASSISTED LIVING
  • Facility Address: 5417 ALTAMESA BLVD
    FORT WORTH, TX
    ZIP 76123
  • Facility Phone: 817 292-8886
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH L. WALTER
  • NPI Number: 1689715351
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2233193
LAB Type Assisted Living Facility
Facility Name BETHESDA GARDENS FORT WORTH ASSISTED LIVING
Street 5417 ALTAMESA BLVD
City FORT WORTH
State TX
ZIP 76123
Phone 817 292-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Assisted Living Facility
Lab Director ELIZABETH L. WALTER

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