45D2093856 CLIA NUMBER - NOVA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2093856
  • Facility Name: NOVA RECOVERY CENTER
  • Facility Address: 601 OLD PAKS RANCH ROAD
    WIMBERLEY, TX
    ZIP 78676
  • Facility Phone: 512 858-9600
  • Facility Type: Other - INPATIENT SERVICES
  • Facility Type: Waiver
  • Lab Director: MATHEW GORMAN
  • NPI Number: 1114274271
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2093856
LAB Type Other - INPATIENT SERVICES
Facility Name NOVA RECOVERY CENTER
Street 601 OLD PAKS RANCH ROAD
City WIMBERLEY
State TX
ZIP 78676
Phone 512 858-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other - INPATIENT SERVICES
Lab Director MATHEW GORMAN

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