45D2050055 CLIA NUMBER - BRATCHER INJURY AND WELLNESS CENTER, PA

Laboratory Demographics

  • CLIA Code: 45D2050055
  • Facility Name: BRATCHER INJURY AND WELLNESS CENTER, PA
  • Facility Address: 2210 W GRANDE BLVD
    TYLER, TX
    ZIP 75703
  • Facility Phone: 903 561-6676
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM X. BRATCHER
  • NPI Number: 1154638864
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2050055
LAB Type Practitioner Other
Facility Name BRATCHER INJURY AND WELLNESS CENTER, PA
Street 2210 W GRANDE BLVD
City TYLER
State TX
ZIP 75703
Phone 903 561-6676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Practitioner Other
Lab Director WILLIAM X. BRATCHER

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