45D0907069 CLIA NUMBER - OAK GROVE NURSING HOME

Laboratory Demographics

  • CLIA Code: 45D0907069
  • Facility Name: OAK GROVE NURSING HOME
  • Facility Address: 6230 WARREN ST
    GROVES, TX
    ZIP 77619
  • Facility Phone: 409 963-1266
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER RODGERS
  • NPI Number: 1609189406
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0907069
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK GROVE NURSING HOME
Street 6230 WARREN ST
City GROVES
State TX
ZIP 77619
Phone 409 963-1266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER RODGERS

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