45D2009632 CLIA NUMBER - COPPERAS HOLLOW NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D2009632
  • Facility Name: COPPERAS HOLLOW NURSING & REHABILITATION
  • Facility Address: 345 COUNTRY CLUB DR
    CALDWELL, TX
    ZIP 77836
  • Facility Phone: 682 305-7152
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRIS BALTAZAR
  • NPI Number: 1700028289
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2009632
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COPPERAS HOLLOW NURSING & REHABILITATION
Street 345 COUNTRY CLUB DR
City CALDWELL
State TX
ZIP 77836
Phone 682 305-7152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRIS BALTAZAR

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