45D2299375 CLIA NUMBER - CLEARFORK ACADEMY LP

Laboratory Demographics

  • CLIA Code: 45D2299375
  • Facility Name: CLEARFORK ACADEMY LP
  • Facility Address: 3880 HULEN ST SUITE 410
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 817 259-2597
  • Facility Type: Other - PHP/IOP
  • Facility Type: Waiver
  • Lab Director: AUSTIN DAVIS
  • NPI Number: 1831876044
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2299375
LAB Type Other - PHP/IOP
Facility Name CLEARFORK ACADEMY LP
Street 3880 HULEN ST SUITE 410
City FORT WORTH
State TX
ZIP 76107
Phone 817 259-2597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - PHP/IOP
Lab Director AUSTIN DAVIS

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