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LIBERTY DIAGNOSTICS
NPI 1528417003
Clinical Medical Laboratory in Fort Worth, TX

Active since June 06, 2016CLIA 45D2123202 · Accreditation
1001 12TH AVE STE 141, FORT WORTH, TX 76104(972) 402-5497 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Sep 23, 2019, Mar 7, 2018 (3 updates tracked since 2018).

About Liberty Diagnostics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DIAGNOSTICS (NPI 1528417003) is a healthcare organization registered as a clinical medical laboratory in Fort Worth, Texas and active in the NPI registry since June 2016. The organization holds an CLIA Accreditation certificate valid through October 12, 2027 and lists Chris Pratt, Owner, as its authorized official.

NPPES Registry Identity

NPI1528417003
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLIBERTY DIAGNOSTICS
Location Address1001 12TH AVE STE 141Fort Worth, TX 76104-3926
Mailing AddressPo Box 11799Fort Worth, TX 76110-0799 · (972) 402-5497 · Fax (972) 755-3748
Phone(972) 402-5497
Organization SubpartNo
Authorized OfficialChris PrattOwner · (972) 402-5497
Enumeration DateJune 6, 2016
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1528417003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1001 12TH AVE STE 141, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2123202

Liberty Diagnostics, LLC · Fort Worth, TX
Active · expires Oct 12, 2027
CLIA Number45D2123202
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorDr. Kent R. Mitchell
Laboratory Phone(972) 402-5497
Laboratory LocationLiberty Diagnostics, LLC1001 12th Avenue Suite 141, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
2,826 services877 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
2,743 services867 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
79 services48 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Diagnostics's NPI number?

The NPI number for Liberty Diagnostics is 1528417003. It was assigned to this organization in the NPPES registry on June 6, 2016.

Where is Liberty Diagnostics located?

Liberty Diagnostics is located at 1001 12th Ave Ste 141, Fort Worth, TX 76104. The listed phone number is (972) 402-5497.

What is Liberty Diagnostics's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Liberty Diagnostics hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2123202) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Diagnostics accept?

Health plans from Blue Cross and Blue Shield of Texas list Liberty Diagnostics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Diagnostics was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.