45D0875328 CLIA NUMBER - SOUTH LIMESTONE HOSPITAL DISTRICT D/B/A CREEKSIDE TERRACE REHABILITAION

Laboratory Demographics

  • CLIA Code: 45D0875328
  • Facility Name: SOUTH LIMESTONE HOSPITAL DISTRICT D/B/A CREEKSIDE TERRACE REHABILITAION
  • Facility Address: 1555 POWELL AVE
    BELTON, TX
    ZIP 76513
  • Facility Phone: 254 831-6200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERRY STIPANOVICH
  • NPI Number: 1932245065
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0875328
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH LIMESTONE HOSPITAL DISTRICT D/B/A CREEKSIDE TERRACE REHABILITAION
Street 1555 POWELL AVE
City BELTON
State TX
ZIP 76513
Phone 254 831-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TERRY STIPANOVICH

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