45D0966709 CLIA NUMBER - PARK MANOR OF CYFAIR HEALTHMARK PARK MANOR LP

Laboratory Demographics

  • CLIA Code: 45D0966709
  • Facility Name: PARK MANOR OF CYFAIR HEALTHMARK PARK MANOR LP
  • Facility Address: 11001 CRESCENT MOON DRIVE
    HOUSTON, TX
    ZIP 77064
  • Facility Phone: 281 477-8877
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ARRON L. HORTON
  • NPI Number: 1811979115
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0966709
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK MANOR OF CYFAIR HEALTHMARK PARK MANOR LP
Street 11001 CRESCENT MOON DRIVE
City HOUSTON
State TX
ZIP 77064
Phone 281 477-8877
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 Skilled Nursing Facility/Nursing Facility
Lab Director ARRON L. HORTON

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