45D0504228 CLIA NUMBER - HILLCREST MANOR NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 45D0504228
  • Facility Name: HILLCREST MANOR NURSING AND REHAB
  • Facility Address: 208 MAPLE STREET
    LULING, TX
    ZIP 78648
  • Facility Phone: 830 875-5219
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANNICE BRAWLEY
  • NPI Number: 1154310431
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0504228
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLCREST MANOR NURSING AND REHAB
Street 208 MAPLE STREET
City LULING
State TX
ZIP 78648
Phone 830 875-5219
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 ANNICE BRAWLEY

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This page was last updated on: 3/20/2025