45D1030007 CLIA NUMBER - ANDREWS CENTER

Laboratory Demographics

  • CLIA Code: 45D1030007
  • Facility Name: ANDREWS CENTER
  • Facility Address: 2323 W FRONT STREET
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 597-1351
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. WAKEFIELD
  • NPI Number: 1275592370
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1030007
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ANDREWS CENTER
Street 2323 W FRONT STREET
City TYLER
State TX
ZIP 75702
Phone 903 597-1351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KATHLEEN A. WAKEFIELD

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