45D0485591 CLIA NUMBER - SUMMIT LTC WEATHERFORD, LLC DBA KEENELAND N & R

Laboratory Demographics

  • CLIA Code: 45D0485591
  • Facility Name: SUMMIT LTC WEATHERFORD, LLC DBA KEENELAND N & R
  • Facility Address: 700 S BOWIE DRIVE
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 594-2715
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LACEY N. ADAMS
  • NPI Number: 1679160089
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0485591
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMIT LTC WEATHERFORD, LLC DBA KEENELAND N & R
Street 700 S BOWIE DRIVE
City WEATHERFORD
State TX
ZIP 76086
Phone 817 594-2715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LACEY N. ADAMS

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This page was last updated on: 9/29/2025