CLIA lab
CLIA 45D2204549: Clear Fork Assisted Living & Memory Care
Willow Park, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2204549 belongs to Clear Fork Assisted Living & Memory Care in Willow Park, TX.
Certificate of Waiver, effective December 9, 2024, expires December 8, 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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2020
- Facility type
- Ancillary test site
- 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
- 45D2204549
- Lab name
- Clear Fork Assisted Living & Memory Care
- Address
- 178 Crown Pointe Blvd, Willow Park, TX 76087
- Phone
- (817) 386-8326
- Fax
- (817) 386-8176
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Connections Wellness GroupCertificate of Waiver, Physician office45D2288481
- Institute for Hormonal BalanceCertificate of Waiver, Physician office45D2346630
- Khan Medical ClinicCertificate of Waiver, Physician office45D2296462
- Medical City Family CareCertificate of Waiver, Physician office45D2013663
- North Star WP, LPCertificate of Waiver, Other45D2302569
- North Texas Retina ConsultantsCertificate of Waiver, Physician office45D2203680
- Strategic Clinical Research Group, LLCCertificate of Waiver, Physician office45D2097126
- Texas Center for UrologyCertificate of Waiver, Physician office45D2122988
Related
Questions
What is the CLIA number for Clear Fork Assisted Living & Memory Care in Willow Park?
45D2204549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clear Fork Assisted Living & Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2204549 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.