45D1006362 CLIA NUMBER - LAREDO SOUTH NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 45D1006362
  • Facility Name: LAREDO SOUTH NURSING AND REHABILITATION CENTER
  • Facility Address: 1100 GALVESTON ST
    LAREDO, TX
    ZIP 78040
  • Facility Phone: 956 723-2068
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANRICK LEDED
  • NPI Number: 1598886947
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1006362
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAREDO SOUTH NURSING AND REHABILITATION CENTER
Street 1100 GALVESTON ST
City LAREDO
State TX
ZIP 78040
Phone 956 723-2068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANRICK LEDED

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