45D2209833 CLIA NUMBER - DAYBREAK, INC

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Laboratory Demographics

CLIA Number: 45D2209833

Facility Name: DAYBREAK, INC

Facility Address:
3425 GRINNELL STREET
LUBBOCK, TX
ZIP 79415
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Facility Phone Number: 800 289-7121

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1871133702

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	45D2209833
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	DAYBREAK, INC
Street	3425 GRINNELL STREET
City	LUBBOCK
State	TX
ZIP	79415
Phone	800 289-7121
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