45D0505095 CLIA NUMBER - HERITAGE PARK REHABILITATION AND SKILLED NURSING CENTER

Laboratory Demographics

  • CLIA Code: 45D0505095
  • Facility Name: HERITAGE PARK REHABILITATION AND SKILLED NURSING CENTER
  • Facility Address: 2806 REAL ST
    AUSTIN, TX
    ZIP 78722
  • Facility Phone: 512 474-1411
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RODGER BROWN
  • NPI Number: 1407349699
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0505095
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE PARK REHABILITATION AND SKILLED NURSING CENTER
Street 2806 REAL ST
City AUSTIN
State TX
ZIP 78722
Phone 512 474-1411
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 RODGER BROWN

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