45D2242570 CLIA NUMBER - GROUPS RECOVER TOGETHER (TEXAS), PA

Laboratory Demographics

  • CLIA Code: 45D2242570
  • Facility Name: GROUPS RECOVER TOGETHER (TEXAS), PA
  • Facility Address: 4801 TROUP HWY STE 101
    TYLER, TX
    ZIP 75703
  • Facility Phone: 917 335-2215
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JORDAN PANGALLO
  • NPI Number: 1679288963
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2242570
LAB Type Community Clinic
Facility Name GROUPS RECOVER TOGETHER (TEXAS), PA
Street 4801 TROUP HWY STE 101
City TYLER
State TX
ZIP 75703
Phone 917 335-2215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Community Clinic
Lab Director JORDAN PANGALLO

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