CLIA lab
CLIA 45D2261871: East Lake Medical, PLLC
Tyler, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2261871 belongs to East Lake Medical, PLLC in Tyler, TX.
Certificate of Waiver, effective June 7, 2026, expires June 6, 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
- June 7, 2026
- Certificate expiration
- June 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 2022
- Facility type
- Physician office
- 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
- 45D2261871
- Lab name
- East Lake Medical, PLLC
- Address
- 11980 St Hwy 64E Ste G, Tyler, TX 75707
- Phone
- (903) 650-8619
- Fax
- (903) 650-8576
Annual test volume the lab reported
- Waived tests
- 750
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 East Lake Medical, PLLC in Tyler?
45D2261871, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Lake Medical, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2261871 expire?
The CMS file lists June 6, 2028 as the certificate expiration date; the certificate took effect June 7, 2026.