45D0994255 CLIA NUMBER - PARK MANOR OF CONROE

Laboratory Demographics

  • CLIA Code: 45D0994255
  • Facility Name: PARK MANOR OF CONROE
  • Facility Address: 1600 GRAND LAKE DRIVE
    CONROE, TX
    ZIP 77301
  • Facility Phone: 936 441-8266
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUE E. MORGAN
  • NPI Number: 1669454963
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0994255
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK MANOR OF CONROE
Street 1600 GRAND LAKE DRIVE
City CONROE
State TX
ZIP 77301
Phone 936 441-8266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUE E. MORGAN

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