45D1090301 CLIA NUMBER - PREMIER HEALTH CARE SERVICES 1

Laboratory Demographics

  • CLIA Code: 45D1090301
  • Facility Name: PREMIER HEALTH CARE SERVICES 1
  • Facility Address: 514 S FANNIN STREET
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 526-3477
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. HENDERSON
  • NPI Number: 1437342136
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1090301
LAB Type Home Health Agency
Facility Name PREMIER HEALTH CARE SERVICES 1
Street 514 S FANNIN STREET
City TYLER
State TX
ZIP 75702
Phone 903 526-3477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Home Health Agency
Lab Director PATRICIA A. HENDERSON

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