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DAVAC LLC
NPI 1538046735
Clinic/Center - Ambulatory Surgical in Fort Worth, TX

Active since August 19, 2025CLIA 45D2334566 · Waiver
919 TRAVIS AVE, FORT WORTH, TX 76104(817) 810-0700(817) 810-0712 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Davac Llc NPPES

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

DAVAC LLC (NPI 1538046735) is a healthcare organization registered as an ambulatory surgical in Fort Worth, Texas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Leigh Ann Ray, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1538046735
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDAVAC LLC
Location Address919 TRAVIS AVEFort Worth, TX 76104-3137
Mailing Address919 Travis AveFort Worth, TX 76104-3137 · (817) 810-0700 · Fax (817) 810-0712
Phone(817) 810-0700
Fax(817) 810-0712
Organization SubpartNo
Authorized OfficialLeigh Ann RayPractice Manager · (502) 572-6353
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1538046735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
919 TRAVIS AVE, Fort Worth, TX 76104
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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 Waiver 45D2334566

Davac, LLC · Fort Worth, TX
Active · expires Nov 23, 2027
CLIA Number45D2334566
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorTerry Ngoc Le
Laboratory Phone(817) 810-0700
Laboratory LocationDavac, LLC919 Travis Avenue, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Davac LLC's NPI number?

The NPI number for Davac LLC is 1538046735. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Davac LLC located?

Davac LLC is located at 919 Travis Ave, Fort Worth, TX 76104. The listed phone number is (817) 810-0700.

What is Davac LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Davac LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2334566) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Davac LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.