45D1107772 CLIA NUMBER - ORTHOLONESTAR

Laboratory Demographics

  • CLIA Code: 45D1107772
  • Facility Name: ORTHOLONESTAR
  • Facility Address: 3414 GOLDEN RD
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 939-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES P. MICHAELS
  • NPI Number: 1134736796
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1107772
LAB Type Physician Office
Facility Name ORTHOLONESTAR
Street 3414 GOLDEN RD
City TYLER
State TX
ZIP 75701
Phone 903 939-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director JAMES P. MICHAELS

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