45D2145841 CLIA NUMBER - WYLIE ER

Laboratory Demographics

  • CLIA Code: 45D2145841
  • Facility Name: WYLIE ER
  • Facility Address: 508 S HIGHWAY 78
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 713 660-0557
  • Facility Type: Other - FREE STANDING ER
  • Facility Type: Accreditation
  • Lab Director: DR. TRENTON STEPHENSON
  • NPI Number: 1275032203
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2145841
LAB Type Other - FREE STANDING ER
Facility Name WYLIE ER
Street 508 S HIGHWAY 78
City WYLIE
State TX
ZIP 75098
Phone 713 660-0557
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 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - FREE STANDING ER
Lab Director DR. TRENTON STEPHENSON

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