45D2063134 CLIA NUMBER - ADVANTA GENETICS LLC

Laboratory Demographics

  • CLIA Code: 45D2063134
  • Facility Name: ADVANTA GENETICS LLC
  • Facility Address: 10935 CR 159
    TYLER, TX
    ZIP 75703
  • Facility Phone: 903 805-9955
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MARY C. LONG
  • NPI Number: 1134559685
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2063134
LAB Type Independent
Facility Name ADVANTA GENETICS LLC
Street 10935 CR 159
City TYLER
State TX
ZIP 75703
Phone 903 805-9955
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Independent
Lab Director DR. MARY C. LONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025