45D1063131 CLIA NUMBER - CASTRO COUNTY NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D1063131
  • Facility Name: CASTRO COUNTY NURSING AND REHABILITATION
  • Facility Address: 1621 BUTLER BLVD
    DIMMITT, TX
    ZIP 79027
  • Facility Phone: 806 647-3117
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY L. DAVIS
  • NPI Number: 1598802589
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1063131
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASTRO COUNTY NURSING AND REHABILITATION
Street 1621 BUTLER BLVD
City DIMMITT
State TX
ZIP 79027
Phone 806 647-3117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JEFFREY L. DAVIS

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