45D0713681 CLIA NUMBER - FAITH NURSING & REHAB

Laboratory Demographics

  • CLIA Code: 45D0713681
  • Facility Name: FAITH NURSING & REHAB
  • Facility Address: 211 EAST JASPER STREET
    JACKSBORO, TX
    ZIP 76458
  • Facility Phone: 940 567-2686
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA K. RUSSELL
  • NPI Number: 1831674209
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0713681
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAITH NURSING & REHAB
Street 211 EAST JASPER STREET
City JACKSBORO
State TX
ZIP 76458
Phone 940 567-2686
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 SANDRA K. RUSSELL

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