CLIA lab
CLIA 45D2049980: Monticello Diagnostic Imaging Fort Worth
Fort Worth, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2049980 belongs to Monticello Diagnostic Imaging Fort Worth in Fort Worth, TX.
Certificate of Waiver, effective April 11, 2025, expires April 10, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2012
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2049980
- Lab name
- Monticello Diagnostic Imaging Fort Worth
- Address
- 3712 W 7th Street, Fort Worth, TX 76107
- Phone
- (817) 377-3800
- Fax
- (817) 377-3801
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Monticello Diagnostic Imaging Fort Worth in Fort Worth?
45D2049980, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Monticello Diagnostic Imaging Fort Worth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2049980 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.