17D0859668 CLIA NUMBER - TYLER PHYSICIANS, PA

Laboratory Demographics

  • CLIA Code: 17D0859668
  • Facility Name: TYLER PHYSICIANS, PA
  • Facility Address: 10202 WEST 13TH STREET NORTH
    WICHITA, KS
    ZIP 67212
  • Facility Phone: 316 729-9100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TRISTYN A. PIERCE MD
  • NPI Number: 1083879399
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0859668
LAB Type Physician Office
Facility Name TYLER PHYSICIANS, PA
Street 10202 WEST 13TH STREET NORTH
City WICHITA
State KS
ZIP 67212
Phone 316 729-9100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TRISTYN A. PIERCE MD

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This page was last updated on: 9/29/2025