45D2300883 CLIA NUMBER - INTEGRITY URGENT CARE - WEST WORTH

Laboratory Demographics

  • CLIA Code: 45D2300883
  • Facility Name: INTEGRITY URGENT CARE - WEST WORTH
  • Facility Address: 411 ALTA MERE DRIVE SUITE 100
    FORT WORTH, TX
    ZIP 76114
  • Facility Phone: 817 717-7728
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TAMARA J. GRABEAL
  • NPI Number: 1700101243
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2300883
LAB Type Other - URGENT CARE
Facility Name INTEGRITY URGENT CARE - WEST WORTH
Street 411 ALTA MERE DRIVE SUITE 100
City FORT WORTH
State TX
ZIP 76114
Phone 817 717-7728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other - URGENT CARE
Lab Director TAMARA J. GRABEAL

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