45D0857275 CLIA NUMBER - HERITAGE AT LONGVIEW HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0857275
  • Facility Name: HERITAGE AT LONGVIEW HEALTHCARE CENTER
  • Facility Address: 112 RUTHLYNN DRIVE
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 753-8611
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TYLER LANGE
  • NPI Number: 1871981019
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0857275
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE AT LONGVIEW HEALTHCARE CENTER
Street 112 RUTHLYNN DRIVE
City LONGVIEW
State TX
ZIP 75605
Phone 903 753-8611
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 TYLER LANGE

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