45D2264061 CLIA NUMBER - MTR TREATMENT CORP TYLER

Laboratory Demographics

  • CLIA Code: 45D2264061
  • Facility Name: MTR TREATMENT CORP TYLER
  • Facility Address: 112 EAST LINE STREET SUITE 100
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 376-1394
  • Facility Type: Other - DRUG REHAB
  • Facility Type: Waiver
  • Lab Director: MICHAEL JONES
  • NPI Number: 1225618507
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2264061
LAB Type Other - DRUG REHAB
Facility Name MTR TREATMENT CORP TYLER
Street 112 EAST LINE STREET SUITE 100
City TYLER
State TX
ZIP 75702
Phone 903 376-1394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other - DRUG REHAB
Lab Director MICHAEL JONES

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