45D2168392 CLIA NUMBER - CENIKOR FOUNDATION-KILLEEN

Laboratory Demographics

  • CLIA Code: 45D2168392
  • Facility Name: CENIKOR FOUNDATION-KILLEEN
  • Facility Address: 4520 E. CENTRAL TX EXPWY, SUITE 102
    KILLEEN, TX
    ZIP 76543
  • Facility Phone: 713 266-9944
  • Facility Type: Other - SUBSTANCE ABUSE CNTR
  • Facility Type: Waiver
  • Lab Director: STACIE WOODALL
  • NPI Number: 1437386364
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2168392
LAB Type Other - SUBSTANCE ABUSE CNTR
Facility Name CENIKOR FOUNDATION-KILLEEN
Street 4520 E. CENTRAL TX EXPWY, SUITE 102
City KILLEEN
State TX
ZIP 76543
Phone 713 266-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - SUBSTANCE ABUSE CNTR
Lab Director STACIE WOODALL

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