45D0957769 CLIA NUMBER - TEXAN NURSING & REHAB OF GONZALES

Laboratory Demographics

  • CLIA Code: 45D0957769
  • Facility Name: TEXAN NURSING & REHAB OF GONZALES
  • Facility Address: 3428 MOULTON ROAD
    GONZALES, TX
    ZIP 78629
  • Facility Phone: 830 672-2867
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELANIE K. WRIGHT
  • NPI Number: 1699013599
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0957769
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TEXAN NURSING & REHAB OF GONZALES
Street 3428 MOULTON ROAD
City GONZALES
State TX
ZIP 78629
Phone 830 672-2867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELANIE K. WRIGHT

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This page was last updated on: 6/4/2025