45D2082962 CLIA NUMBER - GREAT OAKS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2082962
  • Facility Name: GREAT OAKS RECOVERY CENTER
  • Facility Address: 11210 W FM 102
    EGYPT, TX
    ZIP 77436
  • Facility Phone: 979 677-1003
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: HYACIENTH NKWOCHA
  • NPI Number: 1649606997
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2082962
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name GREAT OAKS RECOVERY CENTER
Street 11210 W FM 102
City EGYPT
State TX
ZIP 77436
Phone 979 677-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director HYACIENTH NKWOCHA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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