45D0899138 CLIA NUMBER - COUNTRY CARE MANOR

Laboratory Demographics

  • CLIA Code: 45D0899138
  • Facility Name: COUNTRY CARE MANOR
  • Facility Address: 2736 FM 775
    LA VERNIA, TX
    ZIP 78121
  • Facility Phone: 830 779-2355
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHASE THOMPSON
  • NPI Number: 1780073056
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0899138
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COUNTRY CARE MANOR
Street 2736 FM 775
City LA VERNIA
State TX
ZIP 78121
Phone 830 779-2355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHASE THOMPSON

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