45D2316345 CLIA NUMBER - MERCY PSYCHIATRY INC

Laboratory Demographics

  • CLIA Code: 45D2316345
  • Facility Name: MERCY PSYCHIATRY INC
  • Facility Address: 4941 GOLDEN TRIANGLE BLVD STE 911
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 779-3716
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEDHAT GUIRGUIS
  • NPI Number: 1851870711
  • Taxonomy: 2084P0805X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2316345
LAB Type Physician Office
Facility Name MERCY PSYCHIATRY INC
Street 4941 GOLDEN TRIANGLE BLVD STE 911
City FORT WORTH
State TX
ZIP 76244
Phone 817 779-3716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director MEDHAT GUIRGUIS

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