45D0709408 CLIA NUMBER - CARILLON

Laboratory Demographics

CLIA Number: 45D0709408

Facility Name: CARILLON

Facility Address:
1717 A NORFOLK AVENUE
LUBBOCK, TX
ZIP 79416
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Facility Phone Number: 806 791-6000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1437386273

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0709408
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CARILLON
Street	1717 A NORFOLK AVENUE
City	LUBBOCK
State	TX
ZIP	79416
Phone	806 791-6000
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