Healther Providers Data Logo

45D0674830 CLIA NUMBER - PARK PLAZA LTC PARTNERS, INC

Laboratory Demographics

CLIA Number: 45D0674830

Facility Name: PARK PLAZA LTC PARTNERS, INC

Facility Address:
2210 HOWARD ST
SAN ANGELO, TX
ZIP 76901
Get Directions

Facility Phone Number: 325 944-0561

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1013910587

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 45D0674830
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK PLAZA LTC PARTNERS, INC
Street 2210 HOWARD ST
City SAN ANGELO
State TX
ZIP 76901
Phone 325 944-0561
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024