45D0989704 CLIA NUMBER - MRC CORNERSTONE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 45D0989704
  • Facility Name: MRC CORNERSTONE RETIREMENT COMMUNITY
  • Facility Address: 4100 MOORES LANE
    TEXARKANA, TX
    ZIP 75503
  • Facility Phone: 903 832-5515
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CLAY W. FERGUSON
  • NPI Number: 1245230812
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0989704
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MRC CORNERSTONE RETIREMENT COMMUNITY
Street 4100 MOORES LANE
City TEXARKANA
State TX
ZIP 75503
Phone 903 832-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CLAY W. FERGUSON

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