45D0961805 CLIA NUMBER - BAYOU MANOR

Laboratory Demographics

  • CLIA Code: 45D0961805
  • Facility Name: BAYOU MANOR
  • Facility Address: 4141 SOUTH BRAESWOOD BOULEVARD ATTN RACHEL STEVENS
    HOUSTON, TX
    ZIP 77025
  • Facility Phone: (713) 666-2651
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOAN MORRIS
  • NPI Number: 1679690937
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0961805
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYOU MANOR
Street 4141 SOUTH BRAESWOOD BOULEVARD ATTN RACHEL STEVENS
City HOUSTON
State TX
ZIP 77025
Phone 7136662651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOAN MORRIS

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