45D0941639 CLIA NUMBER - BUCKNER VILLAS

Laboratory Demographics

  • CLIA Code: 45D0941639
  • Facility Name: BUCKNER VILLAS
  • Facility Address: 11110 TOM ADAMS DRIVE
    AUSTIN, TX
    ZIP 78753
  • Facility Phone: 512 836-1515
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SEAN L. BUELOW
  • NPI Number: 1841301868
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0941639
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BUCKNER VILLAS
Street 11110 TOM ADAMS DRIVE
City AUSTIN
State TX
ZIP 78753
Phone 512 836-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SEAN L. BUELOW

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