45D2089636 CLIA NUMBER - TYE FAMILY CARE

Laboratory Demographics

  • CLIA Code: 45D2089636
  • Facility Name: TYE FAMILY CARE
  • Facility Address: 602 MORGAN ST
    TYE, TX
    ZIP 79563
  • Facility Phone: 325 701-7977
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NICOLE C. VOTAW
  • NPI Number: 1801222518
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2089636
LAB Type Practitioner Other
Facility Name TYE FAMILY CARE
Street 602 MORGAN ST
City TYE
State TX
ZIP 79563
Phone 325 701-7977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Practitioner Other
Lab Director NICOLE C. VOTAW

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