45D2069780 CLIA NUMBER - BROADMOOR AT CREEKSIDE PARK, THE

Laboratory Demographics

  • CLIA Code: 45D2069780
  • Facility Name: BROADMOOR AT CREEKSIDE PARK, THE
  • Facility Address: 5665 CREEKSIDE FOREST DRIVE
    THE WOODLANDS, TX
    ZIP 77389
  • Facility Phone: 281 255-8180
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA MCARTHUR
  • NPI Number: 1609206077
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2069780
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROADMOOR AT CREEKSIDE PARK, THE
Street 5665 CREEKSIDE FOREST DRIVE
City THE WOODLANDS
State TX
ZIP 77389
Phone 281 255-8180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELA MCARTHUR

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