45D2315359 CLIA NUMBER - VISTA RIDGE NURSING AND REHABILATION

Laboratory Demographics

  • CLIA Code: 45D2315359
  • Facility Name: VISTA RIDGE NURSING AND REHABILATION
  • Facility Address: 700 E. VISTA RIDGE MALL DR.
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: (972) 906-9789
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHRYN CHAO
  • NPI Number: 1174854236
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2315359
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VISTA RIDGE NURSING AND REHABILATION
Street 700 E. VISTA RIDGE MALL DR.
City LEWISVILLE
State TX
ZIP 75067
Phone 9729069789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHRYN CHAO

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This page was last updated on: 5/18/2026