45D2135176 CLIA NUMBER - ASHTON MEDICAL LODGE

Laboratory Demographics

  • CLIA Code: 45D2135176
  • Facility Name: ASHTON MEDICAL LODGE
  • Facility Address: 801 SOUTH LOOP 250 WEST
    MIDLAND, TX
    ZIP 79703
  • Facility Phone: 432 689-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRODERICK HAMPTON
  • NPI Number: 1790236198
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2135176
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASHTON MEDICAL LODGE
Street 801 SOUTH LOOP 250 WEST
City MIDLAND
State TX
ZIP 79703
Phone 432 689-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRODERICK HAMPTON

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