45D2268374 CLIA NUMBER - CLINICA HISPANA DEL METROPLEX

Laboratory Demographics

  • CLIA Code: 45D2268374
  • Facility Name: CLINICA HISPANA DEL METROPLEX
  • Facility Address: 2741 ELLIS AVE
    FORT WORTH, TX
    ZIP 76164
  • Facility Phone: 817 386-9926
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YENNYS RODRIGUEZ ALONSO
  • NPI Number: 1912655721
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2268374
LAB Type Physician Office
Facility Name CLINICA HISPANA DEL METROPLEX
Street 2741 ELLIS AVE
City FORT WORTH
State TX
ZIP 76164
Phone 817 386-9926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director YENNYS RODRIGUEZ ALONSO

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