45D2015296 CLIA NUMBER - LEGEND OAKS HEALTHCARE AND REHABILITATION- KYLE

Laboratory Demographics

  • CLIA Code: 45D2015296
  • Facility Name: LEGEND OAKS HEALTHCARE AND REHABILITATION- KYLE
  • Facility Address: 1640 FAIRWAY
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 268-1003
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL KROL
  • NPI Number: 1477863660
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2015296
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGEND OAKS HEALTHCARE AND REHABILITATION- KYLE
Street 1640 FAIRWAY
City KYLE
State TX
ZIP 78640
Phone 512 268-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL KROL

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