45D0902643 CLIA NUMBER - REHABILITATION HOSPITAL, LLC

Laboratory Demographics

CLIA Number: 45D0902643

Facility Name: REHABILITATION HOSPITAL, LLC

Facility Address:
701 OLYMPIC PLAZA CIRCLE ATTN SANDY WILSON
TYLER, TX
ZIP 75701
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Facility Phone Number: 903 596-3258

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1174021695

Taxonomy: 283X00000X - Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0902643
LAB Type	Hospital
Facility Name	REHABILITATION HOSPITAL, LLC
Street	701 OLYMPIC PLAZA CIRCLE ATTN SANDY WILSON
City	TYLER
State	TX
ZIP	75701
Phone	903 596-3258
CertificateType	4
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024