45D2168396 CLIA NUMBER - CENIKOR FOUNDATION-WACO

Laboratory Demographics

  • CLIA Code: 45D2168396
  • Facility Name: CENIKOR FOUNDATION-WACO
  • Facility Address: 3015 HERRING AVENUE
    WACO, TX
    ZIP 76708
  • Facility Phone: 713 266-9944
  • Facility Type: Other - SUBSTANCE ABUSE CNTR
  • Facility Type: Waiver
  • Lab Director: ERIC JETER
  • NPI Number: 1366535023
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2168396
LAB Type Other - SUBSTANCE ABUSE CNTR
Facility Name CENIKOR FOUNDATION-WACO
Street 3015 HERRING AVENUE
City WACO
State TX
ZIP 76708
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 ERIC JETER

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