45D2196717 CLIA NUMBER - DOUBLE CREEK ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 45D2196717
  • Facility Name: DOUBLE CREEK ASSISTED LIVING & MEMORY CARE
  • Facility Address: 2300 LOUIS HENNA BLVD
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: 512 520-1555
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATHAN R. PRESLEY
  • NPI Number: 1407361561
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2196717
LAB Type Assisted Living Facility
Facility Name DOUBLE CREEK ASSISTED LIVING & MEMORY CARE
Street 2300 LOUIS HENNA BLVD
City ROUND ROCK
State TX
ZIP 78664
Phone 512 520-1555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Assisted Living Facility
Lab Director NATHAN R. PRESLEY

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