45D2134604 CLIA NUMBER - EYE SURGERY CENTER OF EAST TEXAS

Laboratory Demographics

CLIA Number: 45D2134604

Facility Name: EYE SURGERY CENTER OF EAST TEXAS

Facility Address:
2448 E 5TH STREET
TYLER, TX
ZIP 75701
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Facility Phone Number: 903 595-0500

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1396266441

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2134604
LAB Type	Ambulatory Surgery Center
Facility Name	EYE SURGERY CENTER OF EAST TEXAS
Street	2448 E 5TH STREET
City	TYLER
State	TX
ZIP	75701
Phone	903 595-0500
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024