45D2189104 CLIA NUMBER - TRUMAN W SMITH CHILDREN'S CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D2189104
  • Facility Name: TRUMAN W SMITH CHILDREN'S CARE CENTER
  • Facility Address: 2200 WEST UPSHUR AVE
    GLADEWATER, TX
    ZIP 75647
  • Facility Phone: 903 845-2181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RHONDA ROLEN
  • NPI Number: 1790772689
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2189104
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRUMAN W SMITH CHILDREN'S CARE CENTER
Street 2200 WEST UPSHUR AVE
City GLADEWATER
State TX
ZIP 75647
Phone 903 845-2181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RHONDA ROLEN

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