45D0994111 CLIA NUMBER - MCCAMEY CONVALESENT CENTER

Laboratory Demographics

  • CLIA Code: 45D0994111
  • Facility Name: MCCAMEY CONVALESENT CENTER
  • Facility Address: 2500 HIGHWAY 305 SOUTH P O BOX 1200
    MCCAMEY, TX
    ZIP 79752
  • Facility Phone: 432 652-8626
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PENNY D. RODRIQUEZ
  • NPI Number: 1942249172
  • Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D0994111
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MCCAMEY CONVALESENT CENTER
Street 2500 HIGHWAY 305 SOUTH P O BOX 1200
City MCCAMEY
State TX
ZIP 79752
Phone 432 652-8626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PENNY D. RODRIQUEZ

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