45D2288717 CLIA NUMBER - KNEWMAN HOLDINGS LLC DBA PECAN GROVE

Laboratory Demographics

  • CLIA Code: 45D2288717
  • Facility Name: KNEWMAN HOLDINGS LLC DBA PECAN GROVE
  • Facility Address: 929 STATE HIGHWAY 150
    NEW WAVERLY, TX
    ZIP 77358
  • Facility Phone: (936) 337-4334
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SALENA A. NEWMAN
  • NPI Number: 1316245897
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2288717
LAB Type Assisted Living Facility
Facility Name KNEWMAN HOLDINGS LLC DBA PECAN GROVE
Street 929 STATE HIGHWAY 150
City NEW WAVERLY
State TX
ZIP 77358
Phone 9363374334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Assisted Living Facility
Lab Director SALENA A. NEWMAN

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This page was last updated on: 5/15/2026