45D2022645 CLIA NUMBER - OAK VILLAGE HEALTH CARE

Laboratory Demographics

  • CLIA Code: 45D2022645
  • Facility Name: OAK VILLAGE HEALTH CARE
  • Facility Address: 204 OAK DRIVE SOUTH
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 297-0425
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLY NORMAN
  • NPI Number: 1720505712
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2022645
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK VILLAGE HEALTH CARE
Street 204 OAK DRIVE SOUTH
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 297-0425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELLY NORMAN

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