45D2310005 CLIA NUMBER - TIMOTHY J ROST MD PA

Laboratory Demographics

  • CLIA Code: 45D2310005
  • Facility Name: TIMOTHY J ROST MD PA
  • Facility Address: 1600 W COLLEGE ST STE 340
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 817 329-0389
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY J. ROST
  • NPI Number: 1275539439
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2310005
LAB Type Physician Office
Facility Name TIMOTHY J ROST MD PA
Street 1600 W COLLEGE ST STE 340
City GRAPEVINE
State TX
ZIP 76051
Phone 817 329-0389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director DR. TIMOTHY J. ROST

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