45D0488513 CLIA NUMBER - RIDGECREST RETIREMENT & HEALTHCARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 45D0488513
  • Facility Name: RIDGECREST RETIREMENT & HEALTHCARE COMMUNITY
  • Facility Address: 1900 HWY 6 WEST
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 776-9681
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ILA THOMASON
  • NPI Number: 1407830144
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0488513
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGECREST RETIREMENT & HEALTHCARE COMMUNITY
Street 1900 HWY 6 WEST
City WACO
State TX
ZIP 76712
Phone 254 776-9681
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 ILA THOMASON

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