45D0960696 CLIA NUMBER - BURLESON COUNTY HOSPITAL DISTRICT DBA ST JOSEPH MANOR

Laboratory Demographics

  • CLIA Code: 45D0960696
  • Facility Name: BURLESON COUNTY HOSPITAL DISTRICT DBA ST JOSEPH MANOR
  • Facility Address: 2333 MANOR DRIVE
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 821-7388
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY SIMMONS
  • NPI Number: 1710306253
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0960696
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BURLESON COUNTY HOSPITAL DISTRICT DBA ST JOSEPH MANOR
Street 2333 MANOR DRIVE
City BRYAN
State TX
ZIP 77802
Phone 979 821-7388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAMMY SIMMONS

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