45D0882238 CLIA NUMBER - SLP JACKSONVILLE LLC DBA JACKSONVILLE HELATHCARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0882238
  • Facility Name: SLP JACKSONVILLE LLC DBA JACKSONVILLE HELATHCARE CENTER
  • Facility Address: 305 BONITA STREET
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 586-3616
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANNA L. ROWELLL
  • NPI Number: 1952354318
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0882238
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SLP JACKSONVILLE LLC DBA JACKSONVILLE HELATHCARE CENTER
Street 305 BONITA STREET
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 586-3616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIANNA L. ROWELLL

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