45D0679698 CLIA NUMBER - HAMILTON COUNTY HOSPITAL DISTRICT DBA MANSFIELD NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 45D0679698
  • Facility Name: HAMILTON COUNTY HOSPITAL DISTRICT DBA MANSFIELD NURSING & REHABILITATION CENTER
  • Facility Address: 1402 EAST BROAD ST
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 477-2176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KISSY MILLER
  • NPI Number: 1528655636
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0679698
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAMILTON COUNTY HOSPITAL DISTRICT DBA MANSFIELD NURSING & REHABILITATION CENTER
Street 1402 EAST BROAD ST
City MANSFIELD
State TX
ZIP 76063
Phone 817 477-2176
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 KISSY MILLER

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