45D2194889 CLIA NUMBER - ARABELLA OF KILGORE

Laboratory Demographics

  • CLIA Code: 45D2194889
  • Facility Name: ARABELLA OF KILGORE
  • Facility Address: 2103 CHANDLER ST
    KILGORE, TX
    ZIP 75662
  • Facility Phone: 903 984-8839
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE L. QUEBEDEAUX
  • NPI Number: 1346608700
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2194889
LAB Type Assisted Living Facility
Facility Name ARABELLA OF KILGORE
Street 2103 CHANDLER ST
City KILGORE
State TX
ZIP 75662
Phone 903 984-8839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Assisted Living Facility
Lab Director JAMIE L. QUEBEDEAUX

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