45D0989600 CLIA NUMBER - CHRISTUS MFH DEHAVEN- TYLER

Laboratory Demographics

  • CLIA Code: 45D0989600
  • Facility Name: CHRISTUS MFH DEHAVEN- TYLER
  • Facility Address: 1424 EAST FRONT STREET
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 595-4144
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS J. DEHAVEN
  • NPI Number: 1033641105
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0989600
LAB Type Ambulatory Surgery Center
Facility Name CHRISTUS MFH DEHAVEN- TYLER
Street 1424 EAST FRONT STREET
City TYLER
State TX
ZIP 75702
Phone 903 595-4144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Ambulatory Surgery Center
Lab Director THOMAS J. DEHAVEN

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