45D2251416 CLIA NUMBER - ARBOR ASSISTED LIVING, THE

Laboratory Demographics

  • CLIA Code: 45D2251416
  • Facility Name: ARBOR ASSISTED LIVING, THE
  • Facility Address: 3002 WESTWARD DRIVE
    NACOGDOCHES, TX
    ZIP 75964
  • Facility Phone: 936 560-1272
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY JO LEES
  • NPI Number: 1437106960
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2251416
LAB Type Assisted Living Facility
Facility Name ARBOR ASSISTED LIVING, THE
Street 3002 WESTWARD DRIVE
City NACOGDOCHES
State TX
ZIP 75964
Phone 936 560-1272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Assisted Living Facility
Lab Director MARY JO LEES

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