45D1096096 CLIA NUMBER - BANDERA NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D1096096
  • Facility Name: BANDERA NURSING & REHABILITATION
  • Facility Address: 222 FM 1077
    BANDERA, TX
    ZIP 78003
  • Facility Phone: 830 796-4077
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARIAH DOMINGUEZ
  • NPI Number: 1992103436
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1096096
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BANDERA NURSING & REHABILITATION
Street 222 FM 1077
City BANDERA
State TX
ZIP 78003
Phone 830 796-4077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARIAH DOMINGUEZ

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: 9/29/2025