45D0723227 CLIA NUMBER - LYTLE NURSING HOME

Laboratory Demographics

  • CLIA Code: 45D0723227
  • Facility Name: LYTLE NURSING HOME
  • Facility Address: 614 OAK ST PO BOX 486
    LYTLE, TX
    ZIP 78052
  • Facility Phone: (512) 772-3661
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE BOEHME
  • NPI Number: 1538282538
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0723227
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LYTLE NURSING HOME
Street 614 OAK ST PO BOX 486
City LYTLE
State TX
ZIP 78052
Phone 5127723661
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 JULIE BOEHME

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026