45D2209827 CLIA NUMBER - SHANNON REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH

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Laboratory Demographics

CLIA Number: 45D2209827

Facility Name: SHANNON REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH

Facility Address:
6046 APPALOOSA TRAIL
SAN ANGELO, TX
ZIP 76901
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Facility Phone Number: 325 284-4000

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1306448899

Taxonomy: 283X00000X - Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2209827
LAB Type	Hospital
Facility Name	SHANNON REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH
Street	6046 APPALOOSA TRAIL
City	SAN ANGELO
State	TX
ZIP	76901
Phone	325 284-4000
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024