45D0966707 CLIA NUMBER - PARK MANOR OF SOUTH BELT HEALTHMARK PARK MANOR LP

Laboratory Demographics

  • CLIA Code: 45D0966707
  • Facility Name: PARK MANOR OF SOUTH BELT HEALTHMARK PARK MANOR LP
  • Facility Address: 11902 RESOURCE PARKWAY
    HOUSTON, TX
    ZIP 77089
  • Facility Phone: 281 922-6802
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PAUL M. REYNOLDS
  • NPI Number: 1972585271
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0966707
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PARK MANOR OF SOUTH BELT HEALTHMARK PARK MANOR LP
Street 11902 RESOURCE PARKWAY
City HOUSTON
State TX
ZIP 77089
Phone 281 922-6802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PAUL M. REYNOLDS

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