45D1085178 CLIA NUMBER - PARK VALLEY INN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1085178
  • Facility Name: PARK VALLEY INN HEALTH CENTER
  • Facility Address: 17751 PARK VALLEY DRIVE
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 512 218-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICARDO LOPEZ
  • NPI Number: 1033598123
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1085178
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK VALLEY INN HEALTH CENTER
Street 17751 PARK VALLEY DRIVE
City ROUND ROCK
State TX
ZIP 78681
Phone 512 218-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICARDO LOPEZ

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