45D0660593 CLIA NUMBER - MARBRIDGE VILLA

Laboratory Demographics

  • CLIA Code: 45D0660593
  • Facility Name: MARBRIDGE VILLA
  • Facility Address: PO BOX 2250
    MANCHACA, TX
    ZIP 78652
  • Facility Phone: 512 282-1811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICK DUNCAN MURRAY
  • NPI Number: 1740372952
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0660593
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARBRIDGE VILLA
Street PO BOX 2250
City MANCHACA
State TX
ZIP 78652
Phone 512 282-1811
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 PATRICK DUNCAN MURRAY

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