45D0920188 CLIA NUMBER - SHANNON RIVER CREST HOSPITAL

Laboratory Demographics

  • CLIA Code: 45D0920188
  • Facility Name: SHANNON RIVER CREST HOSPITAL
  • Facility Address: 1636 HUNTERS GLEN RD
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 325 949-5722
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: RAYMOND MAYS
  • NPI Number: 1518937218
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0920188
LAB Type Hospital
Facility Name SHANNON RIVER CREST HOSPITAL
Street 1636 HUNTERS GLEN RD
City SAN ANGELO
State TX
ZIP 76901
Phone 325 949-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Hospital
Lab Director RAYMOND MAYS

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