45D0969763 CLIA NUMBER - FALCON LAKE NURSING HOME LLC

Laboratory Demographics

  • CLIA Code: 45D0969763
  • Facility Name: FALCON LAKE NURSING HOME LLC
  • Facility Address: 200 CARLA STREET
    ZAPATA, TX
    ZIP 78076
  • Facility Phone: (956) 765-3040
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS IREROA
  • NPI Number: 1154088474
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0969763
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FALCON LAKE NURSING HOME LLC
Street 200 CARLA STREET
City ZAPATA
State TX
ZIP 78076
Phone 9567653040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2026
Certificate Expiration Date 1/24/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NICHOLAS IREROA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026