45D1055519 CLIA NUMBER - TYLER NEPHROLOGY ASSOC PA DBA DIALYSIS ACCESS CENTER OF TYLER

Laboratory Demographics

CLIA Number: 45D1055519

Facility Name: TYLER NEPHROLOGY ASSOC PA DBA DIALYSIS ACCESS CENTER OF TYLER

Facility Address:
807 E FIRST ST
TYLER, TX
ZIP 75701
Get Directions

Facility Phone Number: 903 526-0480

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942360326

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	45D1055519
LAB Type	Physician Office
Facility Name	TYLER NEPHROLOGY ASSOC PA DBA DIALYSIS ACCESS CENTER OF TYLER
Street	807 E FIRST ST
City	TYLER
State	TX
ZIP	75701
Phone	903 526-0480
CertificateType	4
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024