45D0681196 CLIA NUMBER - CARADAY OF MOUNT VERNON (FKA WILLOW CREEK HEALTHCARE CENTRE

Laboratory Demographics

  • CLIA Code: 45D0681196
  • Facility Name: CARADAY OF MOUNT VERNON (FKA WILLOW CREEK HEALTHCARE CENTRE
  • Facility Address: 501 YATES STREET
    MOUNT VERNON, TX
    ZIP 75457
  • Facility Phone: 903 537-4424
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN AMYX
  • NPI Number: 1770152589
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0681196
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARADAY OF MOUNT VERNON (FKA WILLOW CREEK HEALTHCARE CENTRE
Street 501 YATES STREET
City MOUNT VERNON
State TX
ZIP 75457
Phone 903 537-4424
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 JOHN AMYX

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