45D0674830 CLIA NUMBER - PARK PLAZA LTC PARTNERS, INC

Laboratory Demographics

  • CLIA Code: 45D0674830
  • Facility Name: PARK PLAZA LTC PARTNERS, INC
  • Facility Address: 2210 HOWARD ST
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: (325) 944-0561
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRAVIS DUFFLEY
  • NPI Number: 1770727455
  • Taxonomy: 314000000X - Skilled Nursing Facility

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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 3259440561
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 TRAVIS DUFFLEY

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This page was last updated on: 5/18/2026