45D2159577 CLIA NUMBER - DISCOVERY VILLAGE AT SOUTHLAKE

Laboratory Demographics

  • CLIA Code: 45D2159577
  • Facility Name: DISCOVERY VILLAGE AT SOUTHLAKE
  • Facility Address: 201 WATERMERE DR
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: (817) 482-1350
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LANCE D. DUNCAN
  • NPI Number: 1396205852
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2159577
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DISCOVERY VILLAGE AT SOUTHLAKE
Street 201 WATERMERE DR
City SOUTHLAKE
State TX
ZIP 76092
Phone 8174821350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LANCE D. DUNCAN

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This page was last updated on: 5/18/2026