45D2301528 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 45D2301528
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 9816 N BEACH ST
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: (703) 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1033722699
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2301528
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 9816 N BEACH ST
City FORT WORTH
State TX
ZIP 76244
Phone 7038478899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2026
Certificate Expiration Date 3/26/2028
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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This page was last updated on: 5/18/2026