45D2165622 CLIA NUMBER - CENIKOR FOUNDATION-TYLER

Laboratory Demographics

  • CLIA Code: 45D2165622
  • Facility Name: CENIKOR FOUNDATION-TYLER
  • Facility Address: 1827 WEST GENTRY PARKWAY
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 630-7467
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: KEISHA MORRIS
  • NPI Number: 1548654338
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2165622
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name CENIKOR FOUNDATION-TYLER
Street 1827 WEST GENTRY PARKWAY
City TYLER
State TX
ZIP 75702
Phone 903 630-7467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director KEISHA MORRIS

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