45D2233404 CLIA NUMBER - AUTUMN LEAVES OF CITYVIEW

Laboratory Demographics

  • CLIA Code: 45D2233404
  • Facility Name: AUTUMN LEAVES OF CITYVIEW
  • Facility Address: 7100 DUTCH BRANCH RD
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 769-3800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA AKAAH
  • NPI Number: 1316210552
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2233404
LAB Type Assisted Living Facility
Facility Name AUTUMN LEAVES OF CITYVIEW
Street 7100 DUTCH BRANCH RD
City FORT WORTH
State TX
ZIP 76132
Phone 817 769-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Assisted Living Facility
Lab Director JESSICA AKAAH

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This page was last updated on: 6/4/2025