45D0499309 CLIA NUMBER - PLEASANTON SOUTH NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 45D0499309
  • Facility Name: PLEASANTON SOUTH NURSING AND REHAB
  • Facility Address: 905 W OAKLAWN AVENUE
    PLEASANTON, TX
    ZIP 78064
  • Facility Phone: 830 569-3861
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TINA M. LOZANO
  • NPI Number: 1740533165
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0499309
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLEASANTON SOUTH NURSING AND REHAB
Street 905 W OAKLAWN AVENUE
City PLEASANTON
State TX
ZIP 78064
Phone 830 569-3861
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 TINA M. LOZANO

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