45D2306609 CLIA NUMBER - EVERSHINEMED, PLLC

Laboratory Demographics

  • CLIA Code: 45D2306609
  • Facility Name: EVERSHINEMED, PLLC
  • Facility Address: 1701 FOREST RIDGE DRIVE
    BEDFORD, TX
    ZIP 76022
  • Facility Phone: 817 545-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHIM SEWANI
  • NPI Number: 1982448296
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2306609
LAB Type Physician Office
Facility Name EVERSHINEMED, PLLC
Street 1701 FOREST RIDGE DRIVE
City BEDFORD
State TX
ZIP 76022
Phone 817 545-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director RAHIM SEWANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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