45D1105157 CLIA NUMBER - KINGSLAND HILLS CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D1105157
  • Facility Name: KINGSLAND HILLS CARE CENTER
  • Facility Address: 3727 W RANCH ROAD 1431
    KINGSLAND, TX
    ZIP 78639
  • Facility Phone: 325 388-4538
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERTO L. RAMIEREZ
  • NPI Number: 1649326208
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1105157
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KINGSLAND HILLS CARE CENTER
Street 3727 W RANCH ROAD 1431
City KINGSLAND
State TX
ZIP 78639
Phone 325 388-4538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROBERTO L. RAMIEREZ

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