45D2273018 CLIA NUMBER - ANJANETTE TAN, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2273018
  • Facility Name: ANJANETTE TAN, MD, PA
  • Facility Address: 6844 HARRIS PARKWAY SUITE 300T
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 263-0007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJANETTE S. TAN
  • NPI Number: 1154326627
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2273018
LAB Type Physician Office
Facility Name ANJANETTE TAN, MD, PA
Street 6844 HARRIS PARKWAY SUITE 300T
City FORT WORTH
State TX
ZIP 76132
Phone 817 263-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director ANJANETTE S. TAN

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