45D2197995 CLIA NUMBER - LEGACY OAKS OF AZLE

Laboratory Demographics

  • CLIA Code: 45D2197995
  • Facility Name: LEGACY OAKS OF AZLE
  • Facility Address: 1364 SOUTHEAST PKWY
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 406-3259
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LEZLIE MICHAEL
  • NPI Number: 1720574825
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2197995
LAB Type Assisted Living Facility
Facility Name LEGACY OAKS OF AZLE
Street 1364 SOUTHEAST PKWY
City AZLE
State TX
ZIP 76020
Phone 817 406-3259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Assisted Living Facility
Lab Director LEZLIE MICHAEL

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