45D0890724 CLIA NUMBER - LBJ MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D0890724
  • Facility Name: LBJ MEDICAL CENTER
  • Facility Address: 206 HALEY RD
    JOHNSON CITY, TX
    ZIP 78636
  • Facility Phone: 830 868-4093
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WANDA LEDFORD
  • NPI Number: 1316954456
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0890724
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LBJ MEDICAL CENTER
Street 206 HALEY RD
City JOHNSON CITY
State TX
ZIP 78636
Phone 830 868-4093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WANDA LEDFORD

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: 9/29/2025