45D2270985 CLIA NUMBER - FOREST PARK PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2270985
  • Facility Name: FOREST PARK PHARMACY
  • Facility Address: 2410 FOREST PARK BLVD
    FORT WORTH, TX
    ZIP 76110
  • Facility Phone: 682 250-3116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLENDA J. HART
  • NPI Number: 1013664614
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2270985
LAB Type Pharmacy
Facility Name FOREST PARK PHARMACY
Street 2410 FOREST PARK BLVD
City FORT WORTH
State TX
ZIP 76110
Phone 682 250-3116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Pharmacy
Lab Director GLENDA J. HART

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