45D1024398 CLIA NUMBER - JOHN PAUL II NURSING HOME

Laboratory Demographics

  • CLIA Code: 45D1024398
  • Facility Name: JOHN PAUL II NURSING HOME
  • Facility Address: 209 S 3RD STREET
    KENEDY, TX
    ZIP 78119
  • Facility Phone: 830 583-9841
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA DOVE
  • NPI Number: 1932273703
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1024398
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JOHN PAUL II NURSING HOME
Street 209 S 3RD STREET
City KENEDY
State TX
ZIP 78119
Phone 830 583-9841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARA DOVE

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025