45D2076858 CLIA NUMBER - ISLE AT WATERCREST-MANSFIELD

Laboratory Demographics

  • CLIA Code: 45D2076858
  • Facility Name: ISLE AT WATERCREST-MANSFIELD
  • Facility Address: 200 E DEBBIE LANE
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 453-3900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TOMMIE A. CUTRISS
  • NPI Number: 1922309962
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2076858
LAB Type Assisted Living Facility
Facility Name ISLE AT WATERCREST-MANSFIELD
Street 200 E DEBBIE LANE
City MANSFIELD
State TX
ZIP 76063
Phone 817 453-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Assisted Living Facility
Lab Director TOMMIE A. CUTRISS

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