CLIA lab

CLIA 45D2193706: Brookdale Tyler South

Tyler, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2193706 belongs to Brookdale Tyler South in Tyler, TX.

Certificate of Waiver, effective September 24, 2026, expires September 23, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2020
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2193706
Lab name
Brookdale Tyler South
Address
5403 Plantation Dr, Tyler, TX 75703
Phone
(903) 534-4955
Fax
(903) 534-1001

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Tyler, TX

Related

Questions

What is the CLIA number for Brookdale Tyler South in Tyler?

45D2193706, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Tyler South hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2193706 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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