45D2237486 CLIA NUMBER - KIRBY PLASTIC SURGERY, PLLC

Laboratory Demographics

  • CLIA Code: 45D2237486
  • Facility Name: KIRBY PLASTIC SURGERY, PLLC
  • Facility Address: 5075 EDWARDS RANCH RD
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: (817) 292-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY J. KIRBY
  • NPI Number: 1386937076
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2237486
LAB Type Physician Office
Facility Name KIRBY PLASTIC SURGERY, PLLC
Street 5075 EDWARDS RANCH RD
City FORT WORTH
State TX
ZIP 76109
Phone 8172924200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director EMILY J. KIRBY

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This page was last updated on: 5/18/2026