45D2199753 CLIA NUMBER - SANDSTONE SENIOR LIVING, INC DBA LAKESHORE ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 45D2199753
  • Facility Name: SANDSTONE SENIOR LIVING, INC DBA LAKESHORE ASSISTED LIVING & MEMORY CARE
  • Facility Address: 5250 MEDICAL DR
    ROCKWALL, TX
    ZIP 75032
  • Facility Phone: 469 338-0204
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNI KNUTSON
  • NPI Number: 1932797487
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2199753
LAB Type Assisted Living Facility
Facility Name SANDSTONE SENIOR LIVING, INC DBA LAKESHORE ASSISTED LIVING & MEMORY CARE
Street 5250 MEDICAL DR
City ROCKWALL
State TX
ZIP 75032
Phone 469 338-0204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Assisted Living Facility
Lab Director JENNI KNUTSON

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