45D2017132 CLIA NUMBER - RAYBURN HEALTHCARE & REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D2017132
  • Facility Name: RAYBURN HEALTHCARE & REHABILITATION
  • Facility Address: 144 BULLDOG AVE
    JASPER, TX
    ZIP 75951
  • Facility Phone: 409 381-8500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN M. DARDEN
  • NPI Number: 1962710079
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2017132
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RAYBURN HEALTHCARE & REHABILITATION
Street 144 BULLDOG AVE
City JASPER
State TX
ZIP 75951
Phone 409 381-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAWN M. DARDEN

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