45D0678647 CLIA NUMBER - HOMEPLACE MANOR

Laboratory Demographics

  • CLIA Code: 45D0678647
  • Facility Name: HOMEPLACE MANOR
  • Facility Address: 425 SW AVE F
    HAMLIN, TX
    ZIP 79520
  • Facility Phone: 325 576-3643
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISHNA SUNKAVALLI
  • NPI Number: 1811949456
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0678647
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOMEPLACE MANOR
Street 425 SW AVE F
City HAMLIN
State TX
ZIP 79520
Phone 325 576-3643
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 KRISHNA SUNKAVALLI

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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