Healther Providers Data Logo

45D1003859 CLIA NUMBER - BENDER TERRACE

Laboratory Demographics

CLIA Number: 45D1003859

Facility Name: BENDER TERRACE

Facility Address:
4510 27TH STREET
LUBBOCK, TX
ZIP 79410
Get Directions

Facility Phone Number: 806 795-4368

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1508999632

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 45D1003859
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENDER TERRACE
Street 4510 27TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 795-4368
CertificateType 4
CertificateEffectiveDate 9/12/2022
CertificateExpirationDate 9/11/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024