45D0980662 CLIA NUMBER - WILLIAM R COURTNEY TEXAS TEXAS STATE VETERANS HOME

Laboratory Demographics

  • CLIA Code: 45D0980662
  • Facility Name: WILLIAM R COURTNEY TEXAS TEXAS STATE VETERANS HOME
  • Facility Address: 1901 SOUTH FIRST STREET ROAD 5
    TEMPLE, TX
    ZIP 76504
  • Facility Phone: 254 791-8280
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CINDY HAWTHORNE RN
  • NPI Number: 1295750297
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0980662
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLIAM R COURTNEY TEXAS TEXAS STATE VETERANS HOME
Street 1901 SOUTH FIRST STREET ROAD 5
City TEMPLE
State TX
ZIP 76504
Phone 254 791-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CINDY HAWTHORNE RN

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