45D0722879 CLIA NUMBER - ARBOR GRACE GUEST CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0722879
  • Facility Name: ARBOR GRACE GUEST CARE CENTER
  • Facility Address: 2700 SOUTH HENDERSON BLVD
    KILGORE, TX
    ZIP 75662
  • Facility Phone: 903 984-3511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY MILLER
  • NPI Number: 1538679931
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0722879
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARBOR GRACE GUEST CARE CENTER
Street 2700 SOUTH HENDERSON BLVD
City KILGORE
State TX
ZIP 75662
Phone 903 984-3511
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 KIMBERLY MILLER

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