45D1041212 CLIA NUMBER - GRACE COMMUNITY HEALTHCARE MINISTRY

Laboratory Demographics

  • CLIA Code: 45D1041212
  • Facility Name: GRACE COMMUNITY HEALTHCARE MINISTRY
  • Facility Address: 312 N PACIFIC
    MINEOLA, TX
    ZIP 75773
  • Facility Phone: 903 569-0020
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARK C. RACE
  • NPI Number: 1619705134
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1041212
LAB Type Community Clinic
Facility Name GRACE COMMUNITY HEALTHCARE MINISTRY
Street 312 N PACIFIC
City MINEOLA
State TX
ZIP 75773
Phone 903 569-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Community Clinic
Lab Director MARK C. RACE

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This page was last updated on: 6/4/2025