45D2070121 CLIA NUMBER - AMERICAN CURRENT CARE DBA CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2070121
  • Facility Name: AMERICAN CURRENT CARE DBA CONCENTRA URGENT CARE
  • Facility Address: 4025 S BROADWAY AVE
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 561-2690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODNEY VAN ANDEL
  • NPI Number: 1164912895
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2070121
LAB Type Physician Office
Facility Name AMERICAN CURRENT CARE DBA CONCENTRA URGENT CARE
Street 4025 S BROADWAY AVE
City TYLER
State TX
ZIP 75701
Phone 903 561-2690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director RODNEY VAN ANDEL

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