45D0680466 CLIA NUMBER - CRESTVIEW HEALTHCARE RESIDENCE

Laboratory Demographics

  • CLIA Code: 45D0680466
  • Facility Name: CRESTVIEW HEALTHCARE RESIDENCE
  • Facility Address: 1400 LAKE SHORE DRIVE
    WACO, TX
    ZIP 76708
  • Facility Phone: 254 753-0291
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHIRLEY ALEXANDER
  • NPI Number: 1548813652
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0680466
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTVIEW HEALTHCARE RESIDENCE
Street 1400 LAKE SHORE DRIVE
City WACO
State TX
ZIP 76708
Phone 254 753-0291
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 SHIRLEY ALEXANDER

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