45D2135862 CLIA NUMBER - IGNITE MEDICAL RESORT ROUND ROCK, LCC

Laboratory Demographics

  • CLIA Code: 45D2135862
  • Facility Name: IGNITE MEDICAL RESORT ROUND ROCK, LCC
  • Facility Address: 16219 RANCH ROAD 620 NORTH
    AUSTIN, TX
    ZIP 78717
  • Facility Phone: 309 339-7814
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Accreditation
  • Lab Director: ILIANA GREVER
  • NPI Number: 1033654603
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2135862
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IGNITE MEDICAL RESORT ROUND ROCK, LCC
Street 16219 RANCH ROAD 620 NORTH
City AUSTIN
State TX
ZIP 78717
Phone 309 339-7814
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ILIANA GREVER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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