45D2270933 CLIA NUMBER - EDUCARE COMMUNITY LIVING- JUNEAU

Laboratory Demographics

CLIA Number: 45D2270933

Facility Name: EDUCARE COMMUNITY LIVING- JUNEAU

Facility Address:
2502 JUNEAU
LUBBOCK, TX
ZIP 79407
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Facility Phone Number: 806 792-2100

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1427178458

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	45D2270933
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	EDUCARE COMMUNITY LIVING- JUNEAU
Street	2502 JUNEAU
City	LUBBOCK
State	TX
ZIP	79407
Phone	806 792-2100
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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