CLIA lab

CLIA 45D2199067: 409 Pineview Lane

Fort Worth, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2199067 belongs to 409 Pineview Lane in Fort Worth, TX.

Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.

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
November 5, 2024
Certificate expiration
November 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 5, 2020
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
45D2199067
Lab name
409 Pineview Lane
Address
409 Pineview Ln, Fort Worth, TX 76140
Phone
(888) 919-3996

Annual test volume the lab reported

Waived tests
365

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 409 Pineview Lane in Fort Worth?

45D2199067, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 409 Pineview Lane hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2199067 expire?

The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.

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