45D2268326 CLIA NUMBER - DIRECT REHABMED BUSINESS HEALTH

Laboratory Demographics

  • CLIA Code: 45D2268326
  • Facility Name: DIRECT REHABMED BUSINESS HEALTH
  • Facility Address: 3110 PARK CENTER DR
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 531-7692
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: C PERRY MARSHALL
  • NPI Number: 1609810308
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 45D2268326
LAB Type Physician Office
Facility Name DIRECT REHABMED BUSINESS HEALTH
Street 3110 PARK CENTER DR
City TYLER
State TX
ZIP 75701
Phone 903 531-7692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director C PERRY MARSHALL

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