45D1107771 CLIA NUMBER - STEPHEN C SPAIN MD

Laboratory Demographics

  • CLIA Code: 45D1107771
  • Facility Name: STEPHEN C SPAIN MD
  • Facility Address: 5040 KINSEY DR STE 300
    TYLER, TX
    ZIP 75703
  • Facility Phone: (903) 561-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN C. SPAIN
  • NPI Number: 1487686309
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1107771
LAB Type Physician Office
Facility Name STEPHEN C SPAIN MD
Street 5040 KINSEY DR STE 300
City TYLER
State TX
ZIP 75703
Phone 9035618300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2025
Certificate Expiration Date 11/11/2027
Facility Type Physician Office
Lab Director STEPHEN C. SPAIN

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This page was last updated on: 5/18/2026