45D1046043 CLIA NUMBER - GRACE PRESBYTERIAN MINISTRIES

Laboratory Demographics

  • CLIA Code: 45D1046043
  • Facility Name: GRACE PRESBYTERIAN MINISTRIES
  • Facility Address: 12477 MERIT DRIVE
    DALLAS, TX
    ZIP 75251
  • Facility Phone: 972 239-5300
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARLENE CASCO
  • NPI Number: 1306837893
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 45D1046043
LAB Type Hospice
Facility Name GRACE PRESBYTERIAN MINISTRIES
Street 12477 MERIT DRIVE
City DALLAS
State TX
ZIP 75251
Phone 972 239-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Hospice
Lab Director MARLENE CASCO

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