45D0972490 CLIA NUMBER - TYLER INTERNAL MEDICINE ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 45D0972490
  • Facility Name: TYLER INTERNAL MEDICINE ASSOCIATES PA
  • Facility Address: 1910 ROSELAND BLVD
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 533-0644
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMY K. SIMPSON
  • NPI Number: 1376900357
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0972490
LAB Type Physician Office
Facility Name TYLER INTERNAL MEDICINE ASSOCIATES PA
Street 1910 ROSELAND BLVD
City TYLER
State TX
ZIP 75701
Phone 903 533-0644
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director AMY K. SIMPSON

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