17D2042742 CLIA NUMBER - GRACEFUL HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 17D2042742
  • Facility Name: GRACEFUL HOME HEALTHCARE
  • Facility Address: 409 NORTH CRESTLINE DRIVE
    LAWRENCE, KS
    ZIP 66049
  • Facility Phone: 785 424-2785
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GRACE A. TORKO
  • NPI Number: 1326665589
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2042742
LAB Type Home Health Agency
Facility Name GRACEFUL HOME HEALTHCARE
Street 409 NORTH CRESTLINE DRIVE
City LAWRENCE
State KS
ZIP 66049
Phone 785 424-2785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Home Health Agency
Lab Director GRACE A. TORKO

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