45D0969478 CLIA NUMBER - LONGVIEW I ENTERPRISES, LLC PINE TREE LODGE

Laboratory Demographics

  • CLIA Code: 45D0969478
  • Facility Name: LONGVIEW I ENTERPRISES, LLC PINE TREE LODGE
  • Facility Address: 2711 PINE TREE ROAD
    LONGVIEW, TX
    ZIP 75604
  • Facility Phone: 903 759-3994
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN READ
  • NPI Number: 1093470221
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0969478
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LONGVIEW I ENTERPRISES, LLC PINE TREE LODGE
Street 2711 PINE TREE ROAD
City LONGVIEW
State TX
ZIP 75604
Phone 903 759-3994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUSAN READ

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