CLIA lab
CLIA 45D2168748: Dermatology Specialists of Fort Worth, PLLC
Benbrook, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2168748 belongs to Dermatology Specialists of Fort Worth, PLLC in Benbrook, TX.
Certificate for Provider-Performed Microscopy Procedures, effective July 9, 2025, expires July 8, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 9, 2025
- Certificate expiration
- July 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2019
- Facility type
- Physician office
- 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
- 45D2168748
- Lab name
- Dermatology Specialists of Fort Worth, PLLC
- Address
- 6131 Southwest Blvd Suite 100, Benbrook, TX 76132
- Phone
- (817) 989-1221
- Fax
- (817) 989-1175
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CVS Pharmacy, IncCertificate of Waiver, Pharmacy45D2221872
- Corinthian Reference LabCertificate of Compliance, Independent45D2020658
- Custom Care Healthcare, Inc DBA FrontierCertificate of Waiver, Home health agency45D0890350
- Harbor Home Health, LPCertificate of Waiver, Home health agency45D2258534
- Herrera Medical Group of BedfordCertificate of Accreditation, Physician office45D2269893
- Integrity Urgent CareCertificate of Waiver, Other45D2291805
- Palo Pinto County Hospital DistrictCertificate of Waiver, Skilled nursing or nursing facility45D0486828
- Prime Diagonstic ImagingCertificate of Waiver, Other45D2321577
Related
Questions
What is the CLIA number for Dermatology Specialists of Fort Worth, PLLC in Benbrook?
45D2168748, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology Specialists of Fort Worth, PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 45D2168748 expire?
The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.