45D2111311 CLIA NUMBER - BEAR CREEK NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D2111311
  • Facility Name: BEAR CREEK NURSING AND REHABILITATION
  • Facility Address: 3729 IRA E WOODS AVENUE
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 817 527-7500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LATRESE WASHINGTON
  • NPI Number: 1083088959
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2111311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAR CREEK NURSING AND REHABILITATION
Street 3729 IRA E WOODS AVENUE
City GRAPEVINE
State TX
ZIP 76051
Phone 817 527-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LATRESE WASHINGTON

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