CLIA lab
CLIA 45D2195152: Breckenridge Village of Tyler
Tyler, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2195152 belongs to Breckenridge Village of Tyler in Tyler, TX.
Certificate of Waiver, effective October 7, 2024, expiration date October 6, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 7, 2024
- Certificate expiration
- October 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2020
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- 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
- 45D2195152
- Lab name
- Breckenridge Village of Tyler
- Address
- 15062 County Road 1145, Tyler, TX 75704
- Phone
- (903) 531-2151
- Fax
- (903) 531-2155
Annual test volume the lab reported
- Waived tests
- 5,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Breckenridge Village of Tyler in Tyler?
45D2195152, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Breckenridge Village of Tyler hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2195152 expire?
The CMS file lists October 6, 2026 as the certificate expiration date; the certificate took effect October 7, 2024.