45D2049842 CLIA NUMBER - ETMC PHYSICIAN GROUP INC DBA UT HEALTH EAST TEXAS

Laboratory Demographics

  • CLIA Code: 45D2049842
  • Facility Name: ETMC PHYSICIAN GROUP INC DBA UT HEALTH EAST TEXAS
  • Facility Address: 2401 SSE LOOP 323 ATTN LAB
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 531-3800
  • Facility Type: Other - PHYSICAL DIR CLINIC CATH
  • Facility Type: Accreditation
  • Lab Director: SHARON SECOLA
  • NPI Number: 1609382662
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2049842
LAB Type Other - PHYSICAL DIR CLINIC CATH
Facility Name ETMC PHYSICIAN GROUP INC DBA UT HEALTH EAST TEXAS
Street 2401 SSE LOOP 323 ATTN LAB
City TYLER
State TX
ZIP 75701
Phone 903 531-3800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other - PHYSICAL DIR CLINIC CATH
Lab Director SHARON SECOLA

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