45D2317627 CLIA NUMBER - THE WEEKEND HEALTH CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2317627
  • Facility Name: THE WEEKEND HEALTH CLINIC PLLC
  • Facility Address: 9705 TEHAMA RIDGE PWKY SUITE A238
    FORT WORTH, TX
    ZIP 76177
  • Facility Phone: 972 703-9027
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARCELA A. JAOKO
  • NPI Number: 1508675117
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2317627
LAB Type Practitioner Other
Facility Name THE WEEKEND HEALTH CLINIC PLLC
Street 9705 TEHAMA RIDGE PWKY SUITE A238
City FORT WORTH
State TX
ZIP 76177
Phone 972 703-9027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Practitioner Other
Lab Director MARCELA A. JAOKO

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