45D0508146 CLIA NUMBER - KENT COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 45D0508146
  • Facility Name: KENT COUNTY NURSING HOME
  • Facility Address: 1443 NORTH MAIN *
    JAYTON, TX
    ZIP 79528
  • Facility Phone: 806 237-3036
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. LISENBEE
  • NPI Number: 1477507374
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0508146
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KENT COUNTY NURSING HOME
Street 1443 NORTH MAIN *
City JAYTON
State TX
ZIP 79528
Phone 806 237-3036
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 KATHLEEN A. LISENBEE

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