CLIA lab

CLIA 45D2048678: Pine Lodge Assisted Living

Henderson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2048678 belongs to Pine Lodge Assisted Living in Henderson, TX.

Certificate of Waiver, effective October 22, 2024, expiration date October 21, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 22, 2024
Certificate expiration
October 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 22, 2012
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2048678
Lab name
Pine Lodge Assisted Living
Address
1905 Old Nacogdoches Rd, Henderson, TX 75654
Phone
(903) 657-1563
Fax
(903) 657-4693

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Pine Lodge Assisted Living in Henderson?

45D2048678, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pine Lodge Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2048678 expire?

The CMS file lists October 21, 2026 as the certificate expiration date; the certificate took effect October 22, 2024.

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