45D0691708 CLIA NUMBER - CHISOLM TRAIL LIVING & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 45D0691708
  • Facility Name: CHISOLM TRAIL LIVING & REHAB CENTER
  • Facility Address: 107 NORTH MEDINA
    LOCKHART, TX
    ZIP 78644
  • Facility Phone: 512 398-5213
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BOBBIE BICE RN
  • NPI Number: 1376531343
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0691708
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHISOLM TRAIL LIVING & REHAB CENTER
Street 107 NORTH MEDINA
City LOCKHART
State TX
ZIP 78644
Phone 512 398-5213
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 BOBBIE BICE RN

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