45D2079867 CLIA NUMBER - GRAPEVINE BIRTHING CENTER

Laboratory Demographics

  • CLIA Code: 45D2079867
  • Facility Name: GRAPEVINE BIRTHING CENTER
  • Facility Address: 409 W WALL STREET
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 817 421-6928
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KIMBERLY J. DALY
  • NPI Number: 1154874626
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D2079867
LAB Type Practitioner Other
Facility Name GRAPEVINE BIRTHING CENTER
Street 409 W WALL STREET
City GRAPEVINE
State TX
ZIP 76051
Phone 817 421-6928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Practitioner Other
Lab Director KIMBERLY J. DALY

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