45D0723129 CLIA NUMBER - AZALEA HEIGHTS (FKA PINECREST NURSING & REHAB CENTER)

Laboratory Demographics

  • CLIA Code: 45D0723129
  • Facility Name: AZALEA HEIGHTS (FKA PINECREST NURSING & REHAB CENTER)
  • Facility Address: 3505 OLD JACKSONVILLE ROAD
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 561-2011
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE MORRIS
  • NPI Number: 1518413731
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0723129
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AZALEA HEIGHTS (FKA PINECREST NURSING & REHAB CENTER)
Street 3505 OLD JACKSONVILLE ROAD
City TYLER
State TX
ZIP 75701
Phone 903 561-2011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NICOLE MORRIS

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