45D1067756 CLIA NUMBER - GRACEFAITH HEALTHCARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D1067756
  • Facility Name: GRACEFAITH HEALTHCARE SERVICES, INC
  • Facility Address: 1118 FERRY STREET
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 561-7760
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FELIX AZUONYE
  • NPI Number: 1952491268
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1067756
LAB Type Home Health Agency
Facility Name GRACEFAITH HEALTHCARE SERVICES, INC
Street 1118 FERRY STREET
City RICHMOND
State TX
ZIP 77469
Phone 281 561-7760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Home Health Agency
Lab Director FELIX AZUONYE

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