45D2276212 CLIA NUMBER - AFFECT THERAPEUTICS, INC

Laboratory Demographics

  • CLIA Code: 45D2276212
  • Facility Name: AFFECT THERAPEUTICS, INC
  • Facility Address: 3800 PALUXY DRIVE, STE 404
    TYLER, TX
    ZIP 75703
  • Facility Phone: 845 769-8758
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT C. GLENN
  • NPI Number: 1033857453
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D2276212
LAB Type Comp. Outpatient Rehab Facility
Facility Name AFFECT THERAPEUTICS, INC
Street 3800 PALUXY DRIVE, STE 404
City TYLER
State TX
ZIP 75703
Phone 845 769-8758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ROBERT C. GLENN

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