45D1083647 CLIA NUMBER - CARE FIRST

Laboratory Demographics

  • CLIA Code: 45D1083647
  • Facility Name: CARE FIRST
  • Facility Address: 13027 HWY 155 SOUTH
    TYLER, TX
    ZIP 75703
  • Facility Phone: 903 839-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL W. RODGERS
  • NPI Number: 1114953767
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1083647
LAB Type Physician Office
Facility Name CARE FIRST
Street 13027 HWY 155 SOUTH
City TYLER
State TX
ZIP 75703
Phone 903 839-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director RANDALL W. RODGERS

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This page was last updated on: 6/4/2025