45D0698719 CLIA NUMBER - COLONIAL MANOR SNF LLC DBA COLONIAL MANOR ADVANCED REHAB & HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D0698719
  • Facility Name: COLONIAL MANOR SNF LLC DBA COLONIAL MANOR ADVANCED REHAB & HEALTHCARE
  • Facility Address: 1100 MINNESOTA ROAD
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 601-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: IRLINE DESIR
  • NPI Number: 1245566736
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0698719
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL MANOR SNF LLC DBA COLONIAL MANOR ADVANCED REHAB & HEALTHCARE
Street 1100 MINNESOTA ROAD
City PHARR
State TX
ZIP 78577
Phone 956 601-2500
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 IRLINE DESIR

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