45D2130845 CLIA NUMBER - WINDMILL WELLNESS RANCH LLC

Laboratory Demographics

  • CLIA Code: 45D2130845
  • Facility Name: WINDMILL WELLNESS RANCH LLC
  • Facility Address: 26229 N CRANE MILLS ROAD
    CANYON LAKE, TX
    ZIP 78133
  • Facility Phone: 830 214-1559
  • Facility Type: Other - DRUG ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: ANIRUDHAN NARASIMHAM
  • NPI Number: 1063943041
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2130845
LAB Type Other - DRUG ADDICTION TREATMENT
Facility Name WINDMILL WELLNESS RANCH LLC
Street 26229 N CRANE MILLS ROAD
City CANYON LAKE
State TX
ZIP 78133
Phone 830 214-1559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Other - DRUG ADDICTION TREATMENT
Lab Director ANIRUDHAN NARASIMHAM

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