45D2141087 CLIA NUMBER - CREEKSIDE VILLAGE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D2141087
  • Facility Name: CREEKSIDE VILLAGE HEALTHCARE
  • Facility Address: 914 N BRAZOSPORT BLVD
    CLUTE, TX
    ZIP 77531
  • Facility Phone: 979 265-4794
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY L. BRIEDEN
  • NPI Number: 1548559263
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2141087
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREEKSIDE VILLAGE HEALTHCARE
Street 914 N BRAZOSPORT BLVD
City CLUTE
State TX
ZIP 77531
Phone 979 265-4794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMY L. BRIEDEN

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