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45D0053594 CLIA NUMBER - RICHMOND STATE SUPPORTED LIVING CENTER

Laboratory Demographics

CLIA Number: 45D0053594

Facility Name: RICHMOND STATE SUPPORTED LIVING CENTER

Facility Address:
2100 PRESTON STREET
RICHMOND, TX
ZIP 77469
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Facility Phone Number: 281 344-4281

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver
NPI Number: 1750549838

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 45D0053594
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RICHMOND STATE SUPPORTED LIVING CENTER
Street 2100 PRESTON STREET
City RICHMOND
State TX
ZIP 77469
Phone 281 344-4281
CertificateType 4
CertificateEffectiveDate 2/9/2023
CertificateExpirationDate 2/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024