45D2005829 CLIA NUMBER - LEGEND OAKS- HEALTHCARE & REHABILITATION-ENNIS

Laboratory Demographics

  • CLIA Code: 45D2005829
  • Facility Name: LEGEND OAKS- HEALTHCARE & REHABILITATION-ENNIS
  • Facility Address: 1400 MEDICAL CENTER DRIVE
    ENNIS, TX
    ZIP 75119
  • Facility Phone: 972 875-4800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEEPAK PATEL
  • NPI Number: 1538491741
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2005829
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGEND OAKS- HEALTHCARE & REHABILITATION-ENNIS
Street 1400 MEDICAL CENTER DRIVE
City ENNIS
State TX
ZIP 75119
Phone 972 875-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEEPAK PATEL

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