45D2040810 CLIA NUMBER - CINCO RANCH ALZHEIMER'S SPECIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D2040810
  • Facility Name: CINCO RANCH ALZHEIMER'S SPECIAL CARE CENTER
  • Facility Address: 3206 SOUTH FRY ROAD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 599-3334
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIO GUITERREZ
  • NPI Number: 1396875373
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2040810
LAB Type Assisted Living Facility
Facility Name CINCO RANCH ALZHEIMER'S SPECIAL CARE CENTER
Street 3206 SOUTH FRY ROAD
City KATY
State TX
ZIP 77450
Phone 281 599-3334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Assisted Living Facility
Lab Director MARIO GUITERREZ

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