45D2021065 CLIA NUMBER - MEADOW LAKE DBA LONGLEAF MEADOWS HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 45D2021065
  • Facility Name: MEADOW LAKE DBA LONGLEAF MEADOWS HEALTHCARE CENTER
  • Facility Address: 16044 CR 165
    TYLER, TX
    ZIP 75703
  • Facility Phone: 903 526-5599
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFF BOYCE
  • NPI Number: 1205572641
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2021065
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOW LAKE DBA LONGLEAF MEADOWS HEALTHCARE CENTER
Street 16044 CR 165
City TYLER
State TX
ZIP 75703
Phone 903 526-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFF BOYCE

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