45D0947556 CLIA NUMBER - WEST TYLER DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D0947556
  • Facility Name: WEST TYLER DIALYSIS CENTER
  • Facility Address: 3600 WEST ERWIN
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 592-6288
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES COTTON MD
  • NPI Number: 1245342120
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0947556
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST TYLER DIALYSIS CENTER
Street 3600 WEST ERWIN
City TYLER
State TX
ZIP 75702
Phone 903 592-6288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES COTTON MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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