45D2289512 CLIA NUMBER - TYLER TX ASC, LLC

Laboratory Demographics

  • CLIA Code: 45D2289512
  • Facility Name: TYLER TX ASC, LLC
  • Facility Address: 4801 TROUP HWY, SUITE 800
    TYLER, TX
    ZIP 75703
  • Facility Phone: 714 766-5883
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM DREISS
  • NPI Number: 1689353823
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2289512
LAB Type Ambulatory Surgery Center
Facility Name TYLER TX ASC, LLC
Street 4801 TROUP HWY, SUITE 800
City TYLER
State TX
ZIP 75703
Phone 714 766-5883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM DREISS

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