45D1089323 CLIA NUMBER - CHRISTOPHER L TYE,MD,DDS

Laboratory Demographics

  • CLIA Code: 45D1089323
  • Facility Name: CHRISTOPHER L TYE,MD,DDS
  • Facility Address: 6904 COLLEYVILLE BLVD,SUITE 100
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 552-3223
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER L. TYE,MD
  • NPI Number: 1386819415
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1089323
LAB Type Ambulatory Surgery Center
Facility Name CHRISTOPHER L TYE,MD,DDS
Street 6904 COLLEYVILLE BLVD,SUITE 100
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 552-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER L. TYE,MD

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