Organization · Type 2 NPI

Advanta Genetics LLC

Clinical Medical Laboratory · Tyler, TX

NPI number 1134559685 Active

Practice location

10935 County Road 159
Tyler, TX 75703-3333

Fax (903) 839-2494

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1134559685
Entity type: Organization (Type 2)
Issued: Nov 20, 2013
Last updated: Apr 29, 2026
Status: Active

Other names

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Advanta Analytical Laboratories · doing business as
Advanta Toxicology LLC · former legal business name

Authorized official

Charles Guilbault
CEO
(903) 805-9955

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About NPI 1134559685

Advanta Genetics LLC's National Provider Identifier is 1134559685, issued on Nov 20, 2013. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Tyler, TX. The record was last updated on Apr 29, 2026.