45D2046505 CLIA NUMBER - EC OPCO LAKE JACKSON, LLC DBA SODALIS LAKE JACKSON

Laboratory Demographics

  • CLIA Code: 45D2046505
  • Facility Name: EC OPCO LAKE JACKSON, LLC DBA SODALIS LAKE JACKSON
  • Facility Address: 206 OAK DRIVE SOUTH
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 297-5577
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACY DAVIS SOILEAU
  • NPI Number: 1881195386
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2046505
LAB Type Assisted Living Facility
Facility Name EC OPCO LAKE JACKSON, LLC DBA SODALIS LAKE JACKSON
Street 206 OAK DRIVE SOUTH
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 297-5577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Assisted Living Facility
Lab Director TRACY DAVIS SOILEAU

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