45D0712646 CLIA NUMBER - STRATFORD HOSPITAL DISTRICT DBA LAKESIDE REHABILTATION AND CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0712646
  • Facility Name: STRATFORD HOSPITAL DISTRICT DBA LAKESIDE REHABILTATION AND CARE CENTER
  • Facility Address: 4306 24TH STREET
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 793-2555
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KERI POWELL
  • NPI Number: 1992902498
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0712646
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STRATFORD HOSPITAL DISTRICT DBA LAKESIDE REHABILTATION AND CARE CENTER
Street 4306 24TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 793-2555
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 KERI POWELL

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