45D2094923 CLIA NUMBER - SHADY ACRES HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 45D2094923
  • Facility Name: SHADY ACRES HEALTH & REHAB
  • Facility Address: 405 SHADY ACRES LANE
    NEWTON, TX
    ZIP 75966
  • Facility Phone: 409 379-8911
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID G. HINES
  • NPI Number: 1124241955
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2094923
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADY ACRES HEALTH & REHAB
Street 405 SHADY ACRES LANE
City NEWTON
State TX
ZIP 75966
Phone 409 379-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAVID G. HINES

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