45D1051877 CLIA NUMBER - ANSON HOSPITAL DISTRICT DBA SAN ANGELO NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 45D1051877
  • Facility Name: ANSON HOSPITAL DISTRICT DBA SAN ANGELO NURSING AND REHAB
  • Facility Address: 5455 KNICKERBOCKER RD
    SAN ANGELO, TX
    ZIP 76904
  • Facility Phone: 325 944-1600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHY MEDLEY
  • NPI Number: 1023576774
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1051877
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANSON HOSPITAL DISTRICT DBA SAN ANGELO NURSING AND REHAB
Street 5455 KNICKERBOCKER RD
City SAN ANGELO
State TX
ZIP 76904
Phone 325 944-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHY MEDLEY

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This page was last updated on: 6/4/2025