45D2273286 CLIA NUMBER - GOLDEN HAVEN SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D2273286
  • Facility Name: GOLDEN HAVEN SERVICES INC
  • Facility Address: 25922 SUMMER SAVORY LANE
    KATY, TX
    ZIP 77494
  • Facility Phone: 832 744-0566
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PASCHAL EJERENWA
  • NPI Number: 1992158117
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2273286
LAB Type Home Health Agency
Facility Name GOLDEN HAVEN SERVICES INC
Street 25922 SUMMER SAVORY LANE
City KATY
State TX
ZIP 77494
Phone 832 744-0566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Home Health Agency
Lab Director PASCHAL EJERENWA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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