45D2310051 CLIA NUMBER - ALLIANCE BEHAVIORAL HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 45D2310051
  • Facility Name: ALLIANCE BEHAVIORAL HEALTH SERVICES, LLC
  • Facility Address: 3100 ALLIANCE TOWN CENTER
    FORT WORTH, TX
    ZIP 76177
  • Facility Phone: 682 357-6485
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: FAISAL TAI
  • NPI Number: 1932394608
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2310051
LAB Type Hospital
Facility Name ALLIANCE BEHAVIORAL HEALTH SERVICES, LLC
Street 3100 ALLIANCE TOWN CENTER
City FORT WORTH
State TX
ZIP 76177
Phone 682 357-6485
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 Hospital
Lab Director FAISAL TAI

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