45D2181267 CLIA NUMBER - MAKANA PATH, LLC

Laboratory Demographics

CLIA Number: 45D2181267

Facility Name: MAKANA PATH, LLC

Facility Address:
826 LEXINGTON ROAD
ELGIN, TX
ZIP 78621
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Facility Phone Number: 512 278-4944

Facility Type: Other - CDTF

Certificate Type: Waiver

NPI Number: 1912404344

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	45D2181267
LAB Type	Other - CDTF
Facility Name	MAKANA PATH, LLC
Street	826 LEXINGTON ROAD
City	ELGIN
State	TX
ZIP	78621
Phone	512 278-4944
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024