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45D2239713 CLIA NUMBER - KEY-WHITMAN EYE CENTER FORT WORTH ALLIANCE

Laboratory Demographics

CLIA Number: 45D2239713

Facility Name: KEY-WHITMAN EYE CENTER FORT WORTH ALLIANCE

Facility Address:
3400 N TARRANT PKWY SUITE 110
FORT WORTH, TX
ZIP 76177
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Facility Phone Number: 817 460-2272

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1033883517

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 45D2239713
LAB Type Physician Office
Facility Name KEY-WHITMAN EYE CENTER FORT WORTH ALLIANCE
Street 3400 N TARRANT PKWY SUITE 110
City FORT WORTH
State TX
ZIP 76177
Phone 817 460-2272
CertificateType 4
CertificateEffectiveDate 10/13/2023
CertificateExpirationDate 10/12/2025
FacilityType Waiver

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