45D2194485 CLIA NUMBER - RATCLIFF SENIOR CARE, LLC BDA ORCHARD PARK OF KYLE

Laboratory Demographics

  • CLIA Code: 45D2194485
  • Facility Name: RATCLIFF SENIOR CARE, LLC BDA ORCHARD PARK OF KYLE
  • Facility Address: 4701 RATCLIFFE DRIVE
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 920-6400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GLEN GILLIUM
  • NPI Number: 1235812108
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2194485
LAB Type Assisted Living Facility
Facility Name RATCLIFF SENIOR CARE, LLC BDA ORCHARD PARK OF KYLE
Street 4701 RATCLIFFE DRIVE
City KYLE
State TX
ZIP 78640
Phone 512 920-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Assisted Living Facility
Lab Director GLEN GILLIUM

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