45D2209866 CLIA NUMBER - DAYBREAK COMMUNITY SERVICES TEXAS LLC

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Laboratory Demographics

CLIA Number: 45D2209866

Facility Name: DAYBREAK COMMUNITY SERVICES TEXAS LLC

Facility Address:
1202 AMBERTON PKWY
SAN ANGELO, TX
ZIP 76901
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Facility Phone Number: 877 659-3108

Facility Type: Other - HCS FACILITY

Certificate Type: Waiver

NPI Number: 1548800485

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	45D2209866
LAB Type	Other - HCS FACILITY
Facility Name	DAYBREAK COMMUNITY SERVICES TEXAS LLC
Street	1202 AMBERTON PKWY
City	SAN ANGELO
State	TX
ZIP	76901
Phone	877 659-3108
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