45D1053917 CLIA NUMBER - HOLLY HALL

Laboratory Demographics

  • CLIA Code: 45D1053917
  • Facility Name: HOLLY HALL
  • Facility Address: 2000 HOLLY HALL ST
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 713 799-9033
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SIERRA HARRIS
  • NPI Number: 1760603229
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1053917
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLY HALL
Street 2000 HOLLY HALL ST
City HOUSTON
State TX
ZIP 77054
Phone 713 799-9033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SIERRA HARRIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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