45D0960678 CLIA NUMBER - BURLESON COUNTY HOSPITAL DISTRICT DBA BURLESON ST JOSEPH MANOR

Laboratory Demographics

CLIA Number: 45D0960678

Facility Name: BURLESON COUNTY HOSPITAL DISTRICT DBA BURLESON ST JOSEPH MANOR

Facility Address:
1022 PRESIDENTIAL CORRIDOR HWY 21 EAST
CALDWELL, TX
ZIP 77836
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Facility Phone Number: 979 567-0920

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1568548683

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	45D0960678
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	BURLESON COUNTY HOSPITAL DISTRICT DBA BURLESON ST JOSEPH MANOR
Street	1022 PRESIDENTIAL CORRIDOR HWY 21 EAST
City	CALDWELL
State	TX
ZIP	77836
Phone	979 567-0920
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

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