45D2064611 CLIA NUMBER - COUNTRYSIDE SENIOR LIVING OF LUFKIN

Laboratory Demographics

  • CLIA Code: 45D2064611
  • Facility Name: COUNTRYSIDE SENIOR LIVING OF LUFKIN
  • Facility Address: 406 GOBBLERS KNOB ROAD
    LUFKIN, TX
    ZIP 75901
  • Facility Phone: 936 639-9727
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BROOKE COLLIER
  • NPI Number: 1891982104
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2064611
LAB Type Assisted Living Facility
Facility Name COUNTRYSIDE SENIOR LIVING OF LUFKIN
Street 406 GOBBLERS KNOB ROAD
City LUFKIN
State TX
ZIP 75901
Phone 936 639-9727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Assisted Living Facility
Lab Director BROOKE COLLIER

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