45D2241413 CLIA NUMBER - FORT WORTH ACADEMY OF FINE ARTS

Laboratory Demographics

  • CLIA Code: 45D2241413
  • Facility Name: FORT WORTH ACADEMY OF FINE ARTS
  • Facility Address: 3901 S HULEN ST
    FORT WORTH, TX
    ZIP 76109
  • Facility Phone: 817 766-2390
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ANIKA L. PERKINS
  • NPI Number: 1295046415
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2241413
LAB Type School/Student Health Service
Facility Name FORT WORTH ACADEMY OF FINE ARTS
Street 3901 S HULEN ST
City FORT WORTH
State TX
ZIP 76109
Phone 817 766-2390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type School/Student Health Service
Lab Director ANIKA L. PERKINS

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