45D0685335 CLIA NUMBER - MULESHOE AREA HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 45D0685335

Facility Name: MULESHOE AREA HEALTHCARE CENTER

Facility Address:
1100 WEST AVENUE J
MULESHOE, TX
ZIP 79347
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Facility Phone Number: 806 272-7578

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1720072622

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0685335
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MULESHOE AREA HEALTHCARE CENTER
Street	1100 WEST AVENUE J
City	MULESHOE
State	TX
ZIP	79347
Phone	806 272-7578
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024