45D0677506 CLIA NUMBER - SUMMIT LTC CENTER DBA HOLIDAY NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D0677506
  • Facility Name: SUMMIT LTC CENTER DBA HOLIDAY NURSING AND REHABILITATION
  • Facility Address: 280 MOFFETT DRIVE
    CENTER, TX
    ZIP 75935
  • Facility Phone: 936 414-6330
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRADY S. JOHNSON
  • NPI Number: 1467944108
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0677506
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMIT LTC CENTER DBA HOLIDAY NURSING AND REHABILITATION
Street 280 MOFFETT DRIVE
City CENTER
State TX
ZIP 75935
Phone 936 414-6330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRADY S. JOHNSON

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This page was last updated on: 9/29/2025