45D2021409 CLIA NUMBER - CROWN POINT HEALTH SUITES

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Laboratory Demographics

CLIA Number: 45D2021409

Facility Name: CROWN POINT HEALTH SUITES

Facility Address:
6640 IOLA AVE
LUBBOCK, TX
ZIP 79424
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Facility Phone Number: 806 687-6640

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1760529200

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	45D2021409
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CROWN POINT HEALTH SUITES
Street	6640 IOLA AVE
City	LUBBOCK
State	TX
ZIP	79424
Phone	806 687-6640
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024