45D2196883 CLIA NUMBER - LEGACY OAKS ASSISTED LIVING AND MEMORY CARE

Laboratory Demographics

  • CLIA Code: 45D2196883
  • Facility Name: LEGACY OAKS ASSISTED LIVING AND MEMORY CARE
  • Facility Address: 7501 W HWY 290
    AUSTIN, TX
    ZIP 78736
  • Facility Phone: 512 288-8300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY H. NIX
  • NPI Number: 1902273725
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2196883
LAB Type Assisted Living Facility
Facility Name LEGACY OAKS ASSISTED LIVING AND MEMORY CARE
Street 7501 W HWY 290
City AUSTIN
State TX
ZIP 78736
Phone 512 288-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Assisted Living Facility
Lab Director TIMOTHY H. NIX

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